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Casey Leigh Hazenberg
Family Nurse Practitioner in Salem, Oregon
NPI 1558770420

Casey Leigh Hazenberg is a Family Nurse Practitioner based in Salem, OR and is specialized in Family. Casey Leigh Hazenberg practices in Salem, OR. The NPI Number for Casey Leigh Hazenberg is 1558770420 and holds a License No. 201404739NP-PP (Oregon).

The current practice location address for Casey Leigh Hazenberg is 1049 Edgewater St Nw, Salem, OR and can be reached out via phone at 503-814-4400.

Location: 1049 Edgewater St Nw, Salem, OR, 97304-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558770420
Provider Name
Casey Leigh Hazenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
1049 Edgewater St Nw, Salem, OR, 97304-4046
Phone Number
503-814-4400
Fax Number
Provider Enumeration Date
08/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1049 Edgewater St Nw
City
Salem
State
Oregon
Zip
97304-4046
Phone Number
503-814-4400
Fax Number
person
Provider Business Mailing Address Details
Address
1049 Edgewater St Nw
City
Salem
State
Oregon
Zip
97304-4046
Phone Number
503-814-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201404739NP-PP (Oregon)
Definition
Definition to come...
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