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Contact Information

WILLIAM R HAZEL
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for WILLIAM R HAZEL · (Male)

NPI Number 1780366971
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2023
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # PA222802
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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