Individual provider · Type 1 NPI

Gordon Loughlin Hazen, PA

Physician Assistant · Portland, ME

NPI number 1689600298 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Other practice locations

  • 71 Prospect Ave, Suite L10, Hudson, NY 12534-2907 · (518) 697-3555

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2928 (ME)
Physician Assistant 363A00000X004258 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689600298

Gordon Loughlin Hazen, PA's National Provider Identifier is 1689600298, issued on Jun 24, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, ME. The record was last updated on Sep 5, 2025.