Individual
HAZEL JADE MILANO TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 ELM ST SW STE 300, ALBANY, OR 97321-1958
(541) 812-4580
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1166933
—
Other
Enumeration date
08/29/2019
Last updated
03/17/2023
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