DR. MICHAEL C HAZEL (NPI# 1033111216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111216 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL C HAZEL |
| Credential | DMD |
| Practice Address |
18607 Willamette Dr West Linn OR 97068-1705 |
| Practice Telephone | 5036353588 |
| Practice Fax Number | 5036353909 |
| Mailing Telephone | 5036353588 |
| Mailing Fax Number | 5036353909 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5121 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | DD1020R | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376307 | Michael Hazel | Nurse Practitioner | 204 Brosig Ave, Navasota, TX 77868-3102 | 2005-09-20 |
| Street Address |
18607 WILLAMETTE DR |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982171708 | Noelle George | Dentist | 1554 Garden St Ste 104, West Linn, OR 97068-3278 | 2018-10-30 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1477927820 | Brookside Dental-west Linn LLC | Dentist | 22400 Salamo Rd Ste 102, West Linn, OR 97068-8269 | 2015-11-23 |
| 1932400660 | Cristina L Waterman | Dentist | 22250 Salamo Rd, West Linn, OR 97068-7206 | 2010-11-11 |
| 1578691366 | Robert S Dugger | Dentist | 1750 Blankenship Rd., Ste. 230, West Linn, OR 97068-4116 | 2007-03-01 |
| 1548310469 | Fadi B Ibsies | Dentist | 18750 Willamette Dr, Suite B-2, West Linn, OR 97068-1700 | 2007-01-11 |
| 1003980574 | James Monte Barless | Dentist | 1673 10th St, Suite B, West Linn, OR 97068-4607 | 2006-11-17 |
| 1891874137 | Tom B Curtis | Dentist | 1820 Willamette Falls Dr, West Linn, OR 97068 | 2006-11-06 |
| 1578586913 | Min Ah Deainza | Dentist | 2900 Rawhide St, West Linn, OR 97068-2313 | 2006-07-26 |
| 1548216559 | Robert Alan Darke | Dentist | 19353 Willamette Dr, West Linn, OR 97068-2010 | 2006-05-25 |
| Find all providers in WEST LINN | ||||
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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.