Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609959568 Individual Practitioner Male Practitioner

Dr. Jack E Pedersen , DC

Chiropractor • Sweet Home, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jack Pedersen, DC is a registered healthcare professional specializing in Chiropractor in Sweet Home, OR. Practice services are available at 1235 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1235 Main St

Sweet Home, OR 973861609

Telephone 5413672105

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Sweet Home, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Sweet Home, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 1401

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Lisa Parsons , LPC

Counselor - Professional

NPI 1144890492

Licensed Professional Counselor

Jessica Brawn , CADC-R

Counselor - Addiction (Substance Use Disorder)

NPI 1184238982

CADCR

Shauna Goodell , CRM, CADC-R

Counselor - Addiction (Substance Use Disorder)

NPI 1639908940

CRM, CADCR

Elle Young , PSS

Peer Specialist

NPI 1700668589

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1235 MAIN ST, SWEET HOME, OR 973861609 (Tel: 5413672105)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1235 MAIN ST, SWEET HOME, OR 973861609 (Tel: 5413672105)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK PEDERSEN, D. C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1401 in OR)

🟢
Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609959568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1235 Main St

Sweet Home, OR 973861609

Phone: 5413672105

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.