Darcelle Tetzlaff, DC
Chiropractor in Portland, OR. Individual provider (NPI-1).
NPI number1154771145
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1154771145
- Entity type
- Individual (NPI-1)
- Name
- Darcelle Tetzlaff
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2016
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5732 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Darcy Tetzlaff (Other Name)
Practice location
5939 Se Belmont St Unit APortland, OR 97215-1994
Phone 503-231-8877
Mailing address
5939 Se Belmont St Unit APortland, OR 97215-1994
Phone 503-231-8877
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