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NPI Code Detail

MEDICARE: HAZELNUT HEALTH PLLC

MEDICARE: HAZELNUT HEALTH PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist
2133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1558230904
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAZELNUT HEALTH PLLC
Provider Business Mailing Address
First Line : 101 E 8TH ST STE 110
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3294
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 E 8TH ST STE 110
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3294
Country : US
Telephone Number : 360-209-4050
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARLENE HILLYER
Credential :
Telephone Number : 360-209-4050
Provider Enumeration Date : 11/03/2025
Last Update Date : 03/18/2026

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Directions to “HAZELNUT HEALTH PLLC ” Practice Location

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