Organization Active NPI

Hedgehog Strong, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1811377237
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3733 Issued in OR
Legal business name
HEDGEHOG STRONG, LLC
Practice address
3934 NE MLK Jr Blvd
Portland, OR 97212-1152
Phone
(503) 381-1380
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Timothy N Saruk, D.C.NPI 1659556207
Title
Owner
Phone
(503) 381-1380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3733 OR Primary

Addresses

Primary practice location

3934 NE MLK Jr Blvd
Portland, OR 97212-1152

Mailing address

115 NE Mason St
Portland, OR 97211-3416
Phone (503) 381-1380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018002789 OR Part B Supplier - Clinic/Group Practice 7012283005 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Oswego, OR; Portland, OR

National Provider Directory

National Provider Directory

Locations

333 S State St
Lake Oswego, OR 97034
Phone (503) 636-3900

3934 NE Mlk Jr Blvd
Portland, OR 97212
Phone (503) 381-1380

3934 NE Martin Luther King Blvd
Ste 108
Portland, OR 97212
Phone (503) 381-1380

Practitioners & affiliated clinicians

Practitioners 3

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1811377237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NE MASON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113416",
            "telephone_number": "503-381-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 NE MLK JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121152",
            "telephone_number": "503-381-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGEHOG STRONG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "SARUK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-381-1380",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3733",
            "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 Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.