Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lara Dyanne Matarrese

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720959612

Lara Dyanne Matarrese is a Student in an Organized Health Care Education/Training Program in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

4400 Salem Dallas Hwy NW
Salem, OR 97304-3338
Phone: (503) 991-5091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OR)

Record details

NPI number1720959612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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