Timothy Harold Hedstrom

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

229461090 Issued in OR

Practice address

415 Glenda Ave
Roseburg, OR 97470-1020

Phone

(541) 680-7063

NPI assigned

Jul 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1528958121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENDA AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701020",
            "telephone_number": "541-680-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENDA AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701020",
            "telephone_number": "541-680-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDSTROM",
        "first_name": "TIMOTHY",
        "middle_name": "HAROLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OR",
            "license": "229461090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuelle Hebert
• Marie Hebert, M.D.
• Rachel Hebert, FNP
• Patricia A Hedges, RD
• Melissa Hedquist
• Sarah Heffner
• James J Hein, DDS
• Jere David Henderson, R.PH.
• Terrance Henderson
• Heather Lyn Hendrick, RN

• Non-emergency Medical Transport (VAN) in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Non-emergency Medical Transport (VAN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.