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

Madelyn Jo Koontz, RD, LD

Individual provider Registered Dietitian · NPI 1265484364

Madelyn Jo Koontz, RD, LD is a Registered Dietitian in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

3878 Beverly Ave NE
Salem, OR 97305-1349
Phone: (503) 363-6065
Fax: (503) 585-3523
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 24 (OR)

Record details

NPI number1265484364
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2026

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