JESSICA SUZANNE PEDERSEN LMT
NPI 1073995429
Massage Therapist in Pendleton, OR

Active since June 22, 2015
812 NW 12TH ST, PENDLETON, OR 97801(541) 310-8572 Get Directions Write a Review

NPPES record last updated: September 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Jessica Suzanne Pedersen Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SUZANNE PEDERSEN LMT (NPI 1073995429) is an individual massage therapist in Pendleton, Oregon, licensed in Washington (60540879) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1073995429
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA SUZANNE PEDERSENCredential: LMT
Location Address812 NW 12TH STPendleton, OR 97801
Mailing Address812 Nw 12th StPendleton, OR 97801-1232 · (541) 310-8572
Sole ProprietorYes
Enumeration DateJune 22, 2015
Last NPPES UpdateSeptember 1, 20182 updates tracked since enumeration
NPI 1073995429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses Licensed in WA · 60540879 Licensed in OR · 20139
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
812 NW 12TH ST, Pendleton, OR 97801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Pedersen's NPI number?

The NPI number for Jessica Pedersen is 1073995429. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Jessica Pedersen located?

Jessica Pedersen practices at 812 NW 12th St, Pendleton, OR 97801. The listed phone number is (541) 310-8572.

What is Jessica Pedersen's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jessica Pedersen was last updated on September 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.