Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hazel Carlos Wiesse-Perez, MSW

Individual provider Social Worker · NPI 1235488263

Hazel Carlos Wiesse-Perez, MSW is a Social Worker in Portland, Oregon. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

847 NE 19th Ave Ste 100
Portland, OR 97232-2684
Phone: (503) 238-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (CA)
Social Worker Taxonomy 104100000X · Licence 0
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1235488263
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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