NPI 1063605384

Ryan D Pederson, DPM

Practitioner Foot & Ankle Surgery Podiatrist Coos Bay, OR

Practice location

Address: 1900 Woodland Dr, Coos Bay, OR 97420-2099
Phone: (541) 267-5151
Fax: (541) 266-4506

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP151127 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1063605384
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2007
Record last updated: 30 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.