Individual
ELIZABETH A HAZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACOM
Contact information
Practice address
5421 NE 33RD AVE, PORTLAND, OR 97211-7403
(503) 544-7613
Mailing address
5336 NE 37TH AVE, PORTLAND, OR 97211-8004
(503) 544-7613
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC155465
OR
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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