Susan Jill Hazel, PMHNP - Nurse Practitioner in Lake Oswego, OR

Susan Jill Hazel, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Lake Oswego, Oregon. Susan Jill Hazel is licensed to practice in Oregon (license number 000036739N6) and her current practice location is 15100 Boones Ferry Rd, #700, Lake Oswego, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 330-5092.

NPI number for Susan Jill Hazel is 1255453437 and her current mailing address is Po Box 13510, Mhpbs, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255453437.

Contact Information

Susan Jill Hazel, PMHNP
15100 Boones Ferry Rd, #700,
Lake Oswego, OR 97035-3469
(503) 330-5092
(503) 892-3129

Map and Direction




Provider's Profile

Full NameSusan Jill Hazel
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15100 Boones Ferry Rd, Lake Oswego, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255453437
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Susan Jill Hazel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255453437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 000036739N6 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Jill Hazel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan Jill Hazel, PMHNP
Po Box 13510, Mhpbs,
Portland, OR 97213

Ph: (503) 249-0181
Susan Jill Hazel, PMHNP
15100 Boones Ferry Rd, #700,
Lake Oswego, OR 97035-3469

Ph: (503) 330-5092

Reviews and Comments


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