Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mindy Jenene Pederson

Individual provider Peer Specialist · NPI 1477467033

Mindy Jenene Pederson is a Peer Specialist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Phone: (503) 740-1971
Fax: (503) 771-2436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 26-CRM-5720 (OR)

Record details

NPI number1477467033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2026
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026

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