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

Individual provider Family Nurse Practitioner · NPI 1669703641

Mrs. Lisa Renee Matlock, FNP is a Nurse Practitioner in Salem, Oregon. Qualified in 2010, 16 years ago. Practices with Salem Health West Valley, a 6-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2010
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2020 Capitol St NE
Salem, OR 97301-0644
Phone: (503) 399-2424
Fax: (503) 375-7429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201050187NP (OR)

Record details

NPI number1669703641
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 15, 2010
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Salem Health West Valley — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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