Demi T Hedges, CHW

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD157640 Issued in OR

Practice address

16463 Boones Ferry Rd Ste 400
Lake Oswego, OR 97035-4377

Phone

(503) 635-3743

Fax

(503) 635-1508

NPI assigned

Nov 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Demarie T Hedges Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Olson Pediatric Clinic, LLC

  • Pediatric Adolescent Medicine Physician
  • Lake Oswego, OR
  • NPI 1588902902
  NPD (past)

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1922824531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD STE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354377",
            "telephone_number": "503-635-3743",
            "fax_number": "503-635-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD STE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354377",
            "telephone_number": "503-635-3743",
            "fax_number": "503-635-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "DEMI",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OR",
            "license": "MD157640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMARIE",
            "last_name": "HEDGES",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "CHW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberlee Heaps, LMT
• Hearing Healthcare Professionals of Oregon, LLC (Sonus Sf0011)
• Hearing Rehab Center
• Heart Centered Medicine
• Tara L Hebert, ATC
• Tamazin Heher, ASW
• Emily Jo Heideman, MSW
• Nancy J Heisel, MD
• Hello Everyday Inc
• Corinne Henderson, LCSW

• Pediatric Adolescent Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Pediatric Adolescent Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.