Active NPI
Surah H Hirsch, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1790766020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- OR2037
- Practice address
- 3151 NE Sandy Blvd
Ste. 200
Portland, OR 97232-2500 - Phone
- (503) 238-9788
- Fax
- (503) 233-9163
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | OR2037 | 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080421000 | Other | OR | REGENCE BCBSO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR2037 | OR | MD | Chiropractor |
| 2037 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1790766020",
"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": {
"last_name": "HIRSCH",
"first_name": "SURAH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "OR2037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBSO",
"identifier": "080421000",
"state": "OR"
}
],
"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.