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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MINDY JENENE PEDERSON
NPI 1477467033
Peer Specialist in Gresham, OR

Active since September 30, 2026
1217 NE BURNSIDE RD STE 701, GRESHAM, OR 97030(503) 740-1971(503) 771-2436 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mindy Jenene Pederson NPPES

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

MINDY JENENE PEDERSON (NPI 1477467033) is an individual peer specialist in Gresham, Oregon, licensed in Oregon (26-CRM-5720) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1477467033
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMINDY JENENE PEDERSON
Location Address1217 NE BURNSIDE RD STE 701Gresham, OR 97030-5770
Mailing Address10117 Se Sunnyside Rd # F1217Clackamas, OR 97015-7708 · (503) 740-1971 · Fax (503) 771-2436
Phone(503) 740-1971
Fax(503) 771-2436
Sole ProprietorNo
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1477467033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 26-CRM-5720
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1217 NE BURNSIDE RD STE 701, Gresham, OR 97030
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARISSA ROSE MATHEWS CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
BETHANIE WILSON CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
MR. DOUGLAS LEE SCHMER SR. CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GWENDOLYN JOY KOCHAN LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 665-8959
BRANDON WINWARD
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
EASTON HALLOCK CADC II, QMHA II
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 866-0877
AARON PETRARCA
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GOLDEN RIBBON ACUPUNCTURE, LLC
Clinic/Center (Health Service)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 839-5510

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 Mindy Pederson's NPI number?

The NPI number for Mindy Pederson is 1477467033. It was assigned to this individual provider in the NPPES registry on September 30, 2026.

Where is Mindy Pederson located?

Mindy Pederson practices at 1217 NE Burnside Rd Ste 701, Gresham, OR 97030. The listed phone number is (503) 740-1971.

What is Mindy Pederson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mindy Pederson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.