SUSAN JILL HAZEL (NPI# 1255453437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255453437 |
| Entity Type | Individual |
| Full Name | SUSAN JILL HAZEL |
| Credential | PMHNP |
| Practice Address |
15100 Boones Ferry Rd #700 Lake Oswego OR 97035-3469 |
| Mailing Address |
Po Box 13510 Mhpbs Portland OR 97213 |
| Practice Telephone | 5033305092 |
| Practice Fax Number | 5038923129 |
| Mailing Telephone | 5032490181 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
000036739N6 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15100 BOONES FERRY RD #700 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093738627 | Lisa A Lieberman | Social Worker | 15100 Boones Ferry Rd, Suite 750a, Lake Oswego, OR 97035-3469 | 2006-07-25 |
| 1033730056 | Mitch Elovitz, Lpc, LLC | Counselor | 15100 Boones Ferry Rd, Lake Oswego, OR 97035-3469 | 2020-04-30 |
| 1831563212 | Rachel Hnizdil | Marriage & Family Therapist | 15100 Boones Ferry Rd, Suite 800b, Lake Oswego, OR 97035-3469 | 2015-11-22 |
| 1497151799 | Ruth Elaine Lamb | Counselor | 15100 Boones Ferry Rd, Lake Oswego, OR 97035-3469 | 2014-11-13 |
| 1508147059 | Natalie Katharine Harper | Counselor | 15100 Boones Ferry Rd, 800c, Lake Oswego, OR 97035-3469 | 2011-08-29 |
| 1578868717 | Joan Mary Hardy | Counselor | 15100 Boones Ferry Rd, 750a, Lake Oswego, OR 97035-3469 | 2011-01-19 |
| 1376707042 | Gregory Czar | Psychologist | 15100 Boones Ferry Rd, Suite 850c, Lake Oswego, OR 97035-3469 | 2008-07-11 |
| 1992967525 | Janice M Bergman | Social Worker | 15100 Boones Ferry Rd, Suite 700a, Lake Oswego, OR 97035-3469 | 2008-06-25 |
| 1679743348 | Amy Holbrook | Social Worker | 15100 Boones Ferry Rd, Ste 700, Lake Oswego, OR 97035-3469 | 2008-03-09 |
| 1700092814 | Judith A Swanson | Social Worker | 15100 Boones Ferry Rd, Suite 750 B, Lake Oswego, OR 97035-3469 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1548748825 | Julia C Bishop-taylor Pmhnp LLC | Nurse Practitioner | 14523 Westlake Dr Ste 4, Lake Oswego, OR 97035-7700 | 2018-07-30 |
| 1083039457 | Kristine Heenk | Nurse Practitioner | 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035-7700 | 2014-02-21 |
| 1295164044 | Melody Becker Jones | Nurse Practitioner | 4860 Centerwood St, Lake Oswego, OR 97035-8203 | 2013-11-02 |
| 1386071801 | Julia Cherie Bishop-taylor | Nurse Practitioner | 14523 Westlake Dr # 4, Lake Oswego, OR 97035 | 2013-09-29 |
| 1568742831 | Abigail Bohn | Nurse Practitioner | 6025 Jean Rd Ste B, Lake Oswego, OR 97035-5307 | 2011-08-18 |
| 1568691756 | Kathleen Kelley | Nurse Practitioner | 15110 Boones Ferry Rd Ste 248, Lake Oswego, OR 97035-3498 | 2009-07-08 |
| 1730230970 | Juliet Walters Bissett | Nurse Practitioner | 201 B Ave, Suite 255, Lake Oswego, OR 97034-3159 | 2007-01-15 |
| 1689110868 | Portland Integrative Psychiatry | Nurse Practitioner | 14523 Westlake Dr, 4, Lake Oswego, OR 97035-7700 | 2017-01-12 |
| 1124195722 | Maureen Conway | Nurse Practitioner | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5497 | 2006-11-29 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.