Dr. Elena Pedersen
Chiropractor
424 Williams Street
Mossyrock
, Washington 98564-0146
Dr. Elena Pedersen
Chiropractor
424 Williams Street
Mossyrock
, Washington 98564-0146
(360) 983-8507
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Elena Pedersen
- Po Box 146 424 Williams St
- Mossyrock, WA
- Zip : 98564-0146
- Fax : (360) 983-8507
- Phone : (360) 983-8700
Second Address
- Dr. Elena Pedersen
- 424 Williams Street
- Mossyrock, WA
- Zip : 98564-0146
- Fax : (360) 983-8507
- Phone : (360) 983-8700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00003066 | WA |
National Provider Identifier
| NPI | 1003977703 |
|---|---|
| Provider Name | Dr. Elena Pedersen |
| First Address | Mossyrock, WA 98564-0146 |
| Second Address | Mossyrock, WA 98564-0146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2006 |
| Last Update Date | 15/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 108857 | LABOR AND INDUSTRIES ID (01) | WA |
| 911701042 | FEDERAL TAX ID (01) | WA |
| U61703 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.