Individual provider · Type 1 NPI

William Raleigh Hazel

Surgical Physician Assistant · Portland, OR

NPI number 1780366971 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA222802 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1780366971

William Raleigh Hazel's National Provider Identifier is 1780366971, issued on Aug 7, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2026.