Individual provider Active NPI

Hayden River Hutchins

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1174136873
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC198694 Issued in OR
Practice address
4160 NE Sandy Blvd
Portland, OR 97212-5336
Phone
(503) 249-9000
Fax
(503) 477-9958
NPI assigned
Aug 24, 2020
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC198694 OR Primary

Addresses

Primary practice location

4160 NE Sandy Blvd
Portland, OR 97212-5336

Mailing address

4160 NE Sandy Blvd
Portland, OR 97212-5336
Phone (503) 477-9958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC198694ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Express PC CurrentSince Jul 22, 2025 Accepting new patients
Portland Wellness Care PastSince Aug 30, 2020 Accepting new patients

Locations

4160 NE Sandy Blvd
Portland, OR 97212
Phone (503) 249-9000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1174136873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125336",
            "telephone_number": "503-477-9958",
            "fax_number": "503-477-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125336",
            "telephone_number": "503-249-9000",
            "fax_number": "503-477-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "HAYDEN",
        "middle_name": "RIVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC198694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.