LOREN MICAHEL TETZLAFF

ALBANY, OR
NPI1295386506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA195275)
Enumeration Date2019-09-27
Last Update Date2020-11-03
Business Address
LOREN MICAHEL TETZLAFF PA-C
400 HICKORY ST NW STE 200
ALBANY, OR 97321-1700
Phone number: 541-812-5800
Mailing Address
LOREN MICAHEL TETZLAFF PA-C
PO BOX 1188
CORVALLIS, OR 97339-1188
Phone number:
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