Individual
KELLYN PAKENEN HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 N HIGHWAY 101, SUITE 204, WARRENTON, OR 97146-9371
(503) 325-0241
(503) 325-2043
Mailing address
65 N HIGHWAY 101, SUITE 204, WARRENTON, OR 97146-9371
(503) 325-0241
(503) 325-2043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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