Mrs. Lisa Ann Callery Koontz, RN, LMT
Mrs. Lisa Ann Callery Koontz, RN, LMT is a Registered Nurse in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3521 Mud Puppy Ln SESalem, OR 97317-9434
Phone: (503) 871-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 13994 (OR) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 096007075RN (OR) |
Record details
| NPI number | 1518667153 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , LMT |
| Sole proprietor | No |
| NPI enumerated | March 2, 2023 |
| Last updated in NPPES | March 2, 2023 |
| Certification date | March 1, 2023 |
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-
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-
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