Individual
SANDRA MARIE HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1933 SW JEFFERSON ST, PORTLAND, OR 97201-2405
(503) 644-3200
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5453
OR
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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