NPIMap

Organization Active NPI

Dr Surah Hirsch DC & Assoc PC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1467628735
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OR 2037 Issued in OR
Legal business name
DR SURAH HIRSCH DC & ASSOC PC
Practice address
3151 NE Sandy Blvd
Ste. 200
Portland, OR 97232-2500
Phone
(503) 238-9788
Fax
(503) 233-9163
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Surah Hirsch, D.C.
Title
Owner
Phone
(503) 238-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X OR 2037 OR Primary

Addresses

Primary practice location

3151 NE Sandy Blvd
Ste. 200
Portland, OR 97232-2500

Mailing address

3151 NE Sandy Blvd
Ste. 200
Portland, OR 97232-2500
Phone (503) 238-9788

Other identifiers 2

IdentifierTypeStateIssuer
0000QGFWMOtherMEDICARE ID
08042100OtherREGENCE BCBS OF OREGON

National Provider Directory

National Provider Directory

Locations

3151 NE Sandy Blvd
Ste 200
Portland, OR 97232
Phone (503) 238-9788

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1467628735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 NE SANDY BLVD",
            "address_2": "STE. 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322500",
            "telephone_number": "503-238-9788",
            "fax_number": "503-233-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 NE SANDY BLVD",
            "address_2": "STE. 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322500",
            "telephone_number": "503-238-9788",
            "fax_number": "503-233-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SURAH HIRSCH DC & ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "SURAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-238-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "OR 2037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0000QGFWM",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS OF OREGON",
            "identifier": "08042100",
            "state": null
        }
    ],
    "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 Nov 8, 2012; 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.