Hazel, Shelby L

Hazel, Shelby L is an individual health care provider with primary practice located at 1235 Se Division St , Portland OR 97202-1099. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Hazel, Shelby L can be contacted via phone (360) 726-4141.

Contact Information

Primary practice address
1235 Se Division St Portland OR 97202-1099
Phone: (360) 726-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1831602994
LBN Legal business name Hazel, Shelby L
Credentials RDN, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2017
Last updated Mar 24th, 2023 - about 2 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.

Request for update

Popular Providers