Hazard, James V

Hazard, James V is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hazard, James V can be contacted via phone (503) 216-4830.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Fax: (503) 216-4850
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20242 Oregon

Profile Details

NPI number 1972573228
LBN Legal business name Hazard, James V
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972573228 NPPES
Oregon MEDICAID 164933

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