Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Raleigh Hazel

Individual provider Physician Assistant · NPI 1780366971

William Raleigh Hazel is a Physician Assistant in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 222 Se 8th Ave Ste 551, Hillsboro, OR 97123-4218 — (503) 352-7272
  • 2222 Nw Lovejoy St Ste 419, Portland, OR 97210-5102 — (503) 413-2005

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA222802 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA222802 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780366971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Portland