IndividualActive
Kimberly Hazen
NPI 1144162686 · School Psychologist · Roseburg, OR
Provider details
- NPI number
- 1144162686
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 142037 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1409 Ne Diamond Lake Blvd
Roseburg, OR 97470-3347
Phone: (541) 440-4777
Approximate (ZIP-level) locationGet directions
Mailing address
2336 Richardson Rd
Myrtle Creek, OR 97457-9752
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.