JACK E PEDERSEN D. C.
NPI 1609959568
Chiropractor in Sweet Home, OR

Q: What is Jack Pedersen's NPI number?

The NPI number for Jack Pedersen is 1609959568. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Jack Pedersen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Pedersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 23, 2006

1235 MAIN ST, SWEET HOME, OR 97386(541) 367-2105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack E Pedersen D. C. NPPES

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

JACK E PEDERSEN D. C. (NPI 1609959568) is an individual chiropractor in Sweet Home, Oregon, licensed in Oregon (1401) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1609959568

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJACK E PEDERSENCredential: D. C.

Location Address1235 MAIN STSweet Home, OR 97386-1609

Mailing Address1235 Main StSweet Home, OR 97386-1609 · (541) 367-2105

Phone(541) 367-2105

Sole ProprietorYes

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609959568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 1401

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1235 MAIN ST, Sweet Home, OR 97386

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Other Providers at the Same Location NPPES 4

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

MRS. LISA PARSONS LPC

Counselor (Professional)

1235 MAIN ST
SWEET HOME, OR 97386

Linn County (541) 818-0379

JESSICA MARIE BRAWN CADC-R

Counselor (Addiction (Substance Use Disorder))

1235 MAIN ST
SWEET HOME, OR 97386

Linn County (541) 818-0379

SHAUNA GOODELL CRM, CADC-R

Counselor (Addiction (Substance Use Disorder))

1235 MAIN ST
SWEET HOME, OR 97386

Linn County (541) 818-0379

ELLE ANNA YOUNG PSS

Peer Specialist

1235 MAIN ST
SWEET HOME, OR 97386

Linn County (541) 818-0379

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 Jack Pedersen's NPI number?

The NPI number for Jack Pedersen is 1609959568. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jack Pedersen located?

Jack Pedersen practices at 1235 Main St, Sweet Home, OR 97386. The listed phone number is (541) 367-2105.

What is Jack Pedersen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jack Pedersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.