Provider Demographics
NPI:1659880938
Name:FEIST, HAZEL ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HAZEL
Middle Name:ANN
Last Name:FEIST
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HAZEL
Other - Middle Name:ANN
Other - Last Name:MCLAEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:14406 NW 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-8007
Mailing Address - Country:US
Mailing Address - Phone:866-280-2736
Mailing Address - Fax:
Practice Address - Street 1:14406 NW 20TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-8007
Practice Address - Country:US
Practice Address - Phone:866-280-2736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA104941835P0018X
OR104941835P0018X
ORRPH-00104941835P2201X
WAPH513051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist