Hazen, Rachelle

Hazen, Rachelle is an individual health care provider with primary practice located at 10564 Se Washington St , Portland OR 97216-2809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hazen, Rachelle can be contacted via phone (032) 289-2295.

Contact Information

Primary practice address
10564 Se Washington St Portland OR 97216-2809
Phone: (032) 289-2295
Fax: (032) 289-5585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1598166589
LBN Legal business name Hazen, Rachelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2014
Last updated Dec 3rd, 2018 - about 7 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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