Individual
BRIAN TETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
23751 SW ELDERBERRY LN, WEST LINN, OR 97068-9111
(719) 393-3574
Mailing address
23751 SW ELDERBERRY LN, WEST LINN, OR 97068-9111
(719) 393-3574
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC191454
OR
225700000X
Massage Therapist
24319
OR
Other
Enumeration date
11/13/2018
Last updated
12/30/2018
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