Healthcare Provider Details

I. General information

NPI: 1255258521
Provider Name (Legal Business Name): WILLIAM DONALD HAZELTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 FAIRVIEW AVE N
SEATTLE WA
98109-4433
US

IV. Provider business mailing address

1100 FAIRVIEW AVE N
SEATTLE WA
98109-4433
US

V. Phone/Fax

Practice location:
  • Phone: 206-293-1921
  • Fax:
Mailing address:
  • Phone: 206-293-1921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: