CASEY LEIGH HAZENBERG

SALEM, OR
NPI1558770420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201404739NP-PP)
Enumeration Date2014-08-05
Last Update Date2015-08-23
Business Address
-- CASEY LEIGH HAZENBERG
1049 EDGEWATER ST NW
SALEM, OR 97304-4046
Phone number: 503-814-4400
Mailing Address
-- CASEY LEIGH HAZENBERG
1049 EDGEWATER ST NW
SALEM, OR 97304-4046
Phone number: 503-814-4400
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