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KIM R PEDERSON MHS PA-C
NPI 1730278037
Physician Assistant in Vancouver, WA

Active since October 12, 2006
501 SE 172ND AVE, VANCOUVER, WA 98684(360) 882-2778(360) 604-1712 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kim R Pederson Mhs Pa-c NPPES

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

KIM R PEDERSON MHS PA-C (NPI 1730278037) is an individual physician assistant in Vancouver, Washington, licensed in Washington (PA60511027) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730278037
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIM R PEDERSONCredential: MHS PA-C
Location Address501 SE 172ND AVEVancouver, WA 98684-9542
Mailing Address700 Ne 87th AveVancouver, WA 98664-1913 · (360) 882-2778
Phone(360) 882-2778
Fax(360) 604-1712
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 3, 2015
✔ NPI 1730278037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WA · PA60511027✔ Licensed in MN · 10200
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA1356 (ME)
501 SE 172ND AVE, Vancouver, WA 98684
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Other Identifiers 2

Medicaid41952400WI
Medicare PIN0603 20195WI

Other Providers at the Same Location NPPES 20

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

ALEXANDRA PRISCILLA SILVERMAN CNM
Advanced Practice Midwife
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (814) 558-6965
MS. KARRIE LARAE WILSON LMP
Massage Therapist
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (360) 882-2778
MS. JUDITH ANNETTE RICHARDSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (360) 397-3602
ZHENG QIAN MD
Dermatology
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (360) 882-2778
MICHAEL STEPHAN KRUEGER PA-C
Physician Assistant
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (360) 882-2778
ROBIN YUMIKO GRATTAN MD
Preventive Medicine (Occupational Medicine)
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (360) 882-2778
BEVIN COSMOS MEYER FNP-BC
Family Medicine
501 SE 172ND AVE
VANCOUVER, WA 98684
Clark County (360) 882-2778
DR. CHRISTOPHER D LOTUFO DPM
Podiatrist (Foot & Ankle Surgery)
501 SE 172ND AVE, STE 140
VANCOUVER, WA 98684
Clark County (360) 882-2778

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 Kim Pederson's NPI number?

The NPI number for Kim Pederson is 1730278037. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kim Pederson located?

Kim Pederson practices at 501 SE 172nd Ave, Vancouver, WA 98684. The listed phone number is (360) 882-2778.

What is Kim Pederson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kim Pederson was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.