Search › Washington › 164W00000X
Chanel Pedersen
NPI 1154877645 · on the registry since 2016
Practice
- Address
- 690 Barnes Blvd
Joint Base Lewis Mcchord, WA 98438 - Phone
- (253) 982-5603
- Organisation at this address
- Amc Madigan-Ft Lewis
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington