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Hazen Timothy Herzog, PHYSICIANASSISTANT
Surgical Physician Assistant in Coos Bay, Oregon
NPI 1932433190

Hazen Timothy Herzog is a Surgical Physician Assistant based in Coos Bay, OR and is specialized in Surgical. Hazen Timothy Herzog practices in Coos Bay, OR and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Hazen Timothy Herzog is 1932433190 and holds a License No. 7462373-1206 (Oregon).

The current practice location address for Hazen Timothy Herzog is 1900 Woodland Dr, Coos Bay, OR and can be reached out via phone at 541-267-5151 and via fax at 541-266-4501.

Location: 1900 Woodland Dr, Coos Bay, OR, 97420-2045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932433190
Provider Name
Hazen Timothy Herzog
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
1900 Woodland Dr, Coos Bay, OR, 97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4501
Provider Enumeration Date
09/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161133 01 OR GROUP MEDICAID NORTH BEND MEDICAL CENTER
500625533 05 OR
74623731206 01 UT LICENSE
P01220506 01 OR RAILROAD MEDICARE
R000WFBTV 01 OR GROUP MEDICARE NORTH BEND MEDICAL CENTER
1407812365 01 OR GROUP NPI NORTH BEND MEDICAL CENTER
93-0635514 01 OR GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
PA152638 01 OR MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4501
person
Provider Business Mailing Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA152638 (Oregon)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
7462373-1206 (Utah)
Definition
Definition to come...
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