Clark Hazel
- Affiliated sites
- 3
- Medical groups
- 3
- State license
- 1
- Year NPI issued
- 2020
- Practice address
- 2926 NE Flanders St, Portland, OR 97232
- Practice phone
- Call (971) 270-0167
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Tiffany Kettermann
Portland, Oregon
Find Clark Hazel's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Clark Hazel is a clinical social worker in Portland, Oregon
Clark Hazel practices at Tiffany Kettermann in Portland, Oregon.
Clark Hazel's NPI, 1184238024, was assigned on September 8, 2020. Clark Hazel holds Oregon license L14056.
- NPI
- 1184238024NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1254782592
- NPI enumeration date
- September 8, 2020
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (971) 270-0167
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 32
- Medical school graduation
- 2020
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Clark Hazel practices at Tiffany Kettermann in Portland, Oregon
Clark Hazel's primary practice is Tiffany Kettermann, at 2926 NE Flanders St, Portland, OR 97232 in Multnomah County. The practice phone is (971) 270-0167.
- Tiffany Kettermann2926 NE Flanders St, Portland, OR 97232 · Multnomah CountyPhone(971) 270-0167
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Clark Hazel is affiliated with 4 sites of care and 3 medical groups
Clark Hazel's primary practice is Tiffany Kettermann in Portland, Oregon. The medical group on file is Legacy Emanuel Medical Center. Dmand AI also links Clark Hazel to 3 more group practices and clinics and 2 medical groups, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Clark Hazel's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Clark Hazel practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Tiffany Kettermann | Available with a free account |
| +3 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Clark Hazel is one of 1,667 clinical social workers in Oregon
Social worker is Clark Hazel's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Clark Hazel is licensed in Oregon.
Specialties and state licenses
- Clinical social worker, OregonPrimary
Clinical social workers near Clark Hazel
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Clark Hazel's patients have a median age of 30
Across all payers, Dmand AI patient panel data puts Clark Hazel's median patient age at 30, with 76% women.
Clark Hazel's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 30
Patient panel by sex, all payers
- Women76%
- Men24%
Source: Dmand AI Patient Panel Data
Clark Hazel offers telehealth to Medicare patients
Clark Hazel accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Clark Hazel as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Clark Hazel's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Clark Hazel
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Clark Hazel's NPI number?
Clark Hazel's NPI number is 1184238024. It was assigned on September 8, 2020, and it is active in the NPI Registry.
What does Clark Hazel specialize in?
Clark Hazel is a clinical social worker in Portland, Oregon. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Clark Hazel practice?
Clark Hazel practices at 2926 NE Flanders St, Portland, OR 97232. Clark Hazel's primary practice is Tiffany Kettermann in Portland, Oregon. Dmand AI also links Clark Hazel to 3 group practices and clinics and 2 medical groups.
What is Clark Hazel's office phone number?
The practice phone on file for Clark Hazel is (971) 270-0167.
What is Clark Hazel's medical license number?
Clark Hazel holds Oregon license L14056.
What medical group is Clark Hazel part of?
Clark Hazel is linked to Legacy Emanuel Medical Center. Dmand AI links Clark Hazel to 2 more medical groups.
Does Clark Hazel accept Medicare?
Yes. CMS lists Clark Hazel as accepting Medicare assignment.
Does Clark Hazel offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Clark Hazel as offering telehealth services.
How long has Clark Hazel been practicing?
Clark Hazel graduated from medical school in 2020, 6 years ago.
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