SUSAN JILL HAZEL

LAKE OSWEGO, OR
NPI1255453437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  000036739N6)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- SUSAN JILL HAZEL PMHNP
15100 BOONES FERRY RD #700
LAKE OSWEGO, OR 97035-3469
Phone number: 503-330-5092
Mailing Address
-- SUSAN JILL HAZEL PMHNP
PO BOX 13510 MHPBS
PORTLAND, OR 97213
Phone number: 503-249-0181