SANDRA MARIE HAZARD


Address: 1933 Sw Jefferson St, Portland, OR 97201-2405
Phone: 5036443200

SANDRA MARIE HAZARD (NPI# 1992875652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992875652
Entity Type Individual
Full Name SANDRA MARIE HAZARD
Credential DMD
Practice Address 1933 Sw Jefferson St
Portland
OR 97201-2405
Mailing Address 6950 Ne Campus Way
Hillsboro
OR 97124-5611
Practice Telephone 5036443200
Mailing Telephone 5039522164
Mailing Fax Number 5035264418
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 5453 OR Dental Providers

Office Location

Street Address 1933 SW JEFFERSON ST
City PORTLAND
State OR
Zip Code 97201-2405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861976961 Sahar Jaferian Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2018-09-24
1528592656 Amelia Stoker Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2017-04-15
1902348022 Julie Huynh Dental Hygienist 1933 Sw Jefferson St, Portland, OR 97201-2405 2016-11-07
1689093429 Jenny Scheetz Dental Hygienist 1933 Sw Jefferson St, Portland, OR 97201-2405 2014-04-09
1649567785 Nalani Oda Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2011-07-08
1821254350 Kariana Peters Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2008-08-04
1851447635 William Carl Metz Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2007-01-26
1982750055 Yun Dok Kyung-lee Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2007-01-25
1811052277 Eugene C Skourtes Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2006-12-26
1720153141 Dennis Claude Deming Dentist 1933 Sw Jefferson St, Portland, OR 97201-2405 2006-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206060 Laura Elizabeth Jackson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201 2020-05-10
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1487275442 Erin Aleen Ostlie-madden Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-04-30
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1780172619 Susan Elizabeth Christian Barrios Social Worker 1505 Sw College St, Portland, OR 97201 2018-04-26
1730696576 Fiona Everett Counselor 1703 Sw Clay St, Portland, OR 97201 2018-01-02
1437678844 Akira Thomas Neilsen Student in an Organized Health Care Education/Training Program 1930 Sw River Drive, Unit 102, Portland, OR 97201 2017-09-18
1285171736 Howard Mitchell Technician, Other 1110 Sw Clay Street Apt. 34, Portland, OR 97201 2017-01-23
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366064 Felipe Gregorio Flores Dentist 107 Shorecliff Dr, Portland, TX 78374-1459 2020-11-02
1972117588 Medical Teams International Dentist 14150 Sw Milton Ct, Portland, OR 97224-8024 2020-09-01
1255975561 Michigan Sleep Solutions LLC Dentist 8037 Abbey Rd., Portland, MI 48875-9774 2019-10-30
1073162699 Ryan Douglas Mccormick Dentist 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 2019-09-06
1255989497 Owen Ritter Lund Dentist 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 2019-08-30
1023663119 Xiaochen Zhou Dentist 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 2019-08-06
1598223919 Portland Modern Dentistry Dentist 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 2019-03-05
1922571942 Rashmi, LLC Dentist 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 2019-01-03
1053891051 Waleed Almulla Dentist 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 2018-08-19
1558848333 Kelsey Mcevoy Dentist 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 2018-07-24
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Competitor

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City PORTLAND
Zip Code 97201

Improve Information

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Dataset Information

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.

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