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

Lisa Marie Kolka, IDC

Individual provider Independent Duty Corpsman · NPI 1588631550

Lisa Marie Kolka, IDC is an Independent Duty Corpsman in Corvallis, Oregon. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

121 SE Viewmont Ave
Corvallis, OR 97333-1968
Phone: (541) 766-3546
Fax: (541) 766-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X
Independent Duty Corpsman Taxonomy 1710I1002X (CA)

Record details

NPI number1588631550
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESJune 7, 2016