Individual
KEITH HAZEN-DIEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 E 32ND AVE, EUGENE, OR 97405-4203
(503) 801-4323
Mailing address
875 E 32ND AVE, EUGENE, OR 97405-4203
(503) 801-4323
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
202007308RN
OR
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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