Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Ann Hazen, MS, RD, IBCLC

Individual provider Registered Dietitian · NPI 1144726019

Mrs. Jessica Ann Hazen, MS, RD, IBCLC is a Registered Dietitian in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2018.

Licensed in
OR, WA
In the registry since
2018
Specialties on file
5
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2502 E 4th Plain Blvd
Vancouver, WA 98661-3965
Phone: (360) 397-8459
Fax: (360) 397-4367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI60841895 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence LD-D-10190313 (OR)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence LD-D-10190313 (OR)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence LD-D-10190313 (OR)
Lactation Consultant (Non-RN) Taxonomy 174N00000X

Record details

NPI number1144726019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , IBCLC
Sole proprietorNo
NPI enumeratedApril 1, 2018
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

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