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-- LISA DIANNE DOHERTY -- RN, BSN

Individual Provider (NPI-1) Active

Registered Nurse, Community Health

Provider Information

NPI Number
1407302540
Provider Type
Individual Provider (NPI-1)
Credentials
RN, BSN
Status
Active

Contact & Location

Address
4080 REED RD SE, SALEM, OR, 973021357
Phone
(503) 507-0013
Fax
(503) 961-1283

Specialties & Taxonomies

Registered Nurse, Community Health Primary License: OR #201240192RN

All Addresses

MAILING

5174 PERRY ST NE

KEIZER, OR, 973032496

(503) 507-0013

LOCATION

4080 REED RD SE

SALEM, OR, 973021357

(503) 507-0013