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Organization
DR SURAH HIRSCH DC & ASSOC PC
Active
Organization
DR SURAH HIRSCH DC & ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURAH HIRSCH D.C. (OWNER)
(503) 238-9788
Entity
Organization
Contact information
Practice address
3151 NE SANDY BLVD, STE. 200, PORTLAND, OR 97232-2500
(503) 238-9788
(503) 233-9163
Mailing address
3151 NE SANDY BLVD, STE. 200, PORTLAND, OR 97232-2500
(503) 238-9788
(503) 233-9163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OR 2037
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000QGFWM
MEDICARE ID
—
01
—
08042100
REGENCE BCBS OF OREGON
—
Enumeration date
05/06/2008
Last updated
11/08/2012
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