LISA DIANNE DOHERTY (NPI# 1407302540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407302540 |
| Entity Type | Individual |
| Full Name | LISA DIANNE DOHERTY |
| Credential | RN, BSN |
| Practice Address |
4080 Reed Rd Se Salem OR 97302-1357 |
| Mailing Address |
5174 Perry St Ne Keizer OR 97303-2496 |
| Practice Telephone | 5035070013 |
| Practice Fax Number | 5039611283 |
| Mailing Telephone | 5035070013 |
| Mailing Fax Number | 5039611283 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
201240192RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593100 | Lisa Doherty | Specialist | 41 Turtle Cove Ln, Huntington, NY 11743-3875 | 2012-10-17 |
| 1083016471 | Lisa Marie Doherty | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-09-17 |
| 1821423294 | Lisa Doherty | Registered Nurse | 2600 W 9th St, Chester, PA 19013-2040 | 2013-09-04 |
| 1871791236 | Lisa L Doherty | Family Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2007-07-06 |
| 1447356357 | Lisa Jill Doherty | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| 1497700652 | Lisa M Doherty | Nurse Practitioner | 450 Brookline Ave, Da2116, Boston, MA 02215-5418 | 2006-05-24 |
| Street Address |
4080 REED RD SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617694 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se, Suite 150, Salem, OR 97302-1100 | 2008-11-17 |
| 1821583147 | Dominique Muguet Schoessler | Case Manager/Care Coordinator | 4080 Reed Rd Se, Salem, OR 97302-1357 | 2018-06-28 |
| 1417296872 | Cynthia A. Shaver | Counselor | 4080 Reed Rd Se, Salem, OR 97302 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053543140 | Lori Lynn Latona | Registered Nurse | 3719 Mica View Ct Se, Salem, OR 97302-4793 | 2009-08-21 |
| 1295960110 | Rita Murphy | Registered Nurse | 490 Waldo Ave Se, Salem, OR 97302-4459 | 2009-05-20 |
| 1093953556 | Lorraine Kay Hiebert | Registered Nurse | 755 Medical Center Dr Ne, Salem, OR 97301-2762 | 2009-01-21 |
| 1114195096 | Rebecca Suzanne Sigel | Registered Nurse | 2744 Bald Eagle Ave Nw, Salem, OR 97304-4256 | 2008-02-13 |
| 1619167491 | Erma J. Stevenson | Registered Nurse | 2434 Percheron Ct Se, Salem, OR 97317-6272 | 2007-07-27 |
| 1194922534 | Kathe M Williams | Registered Nurse | 560 19th St Ne, Salem, OR 97301-4305 | 2007-06-29 |
| 1538206115 | Jan Reatha Drill | Registered Nurse | 4838 49th Ave Ne, Salem, OR 97305-3304 | 2007-01-31 |
| 1336299106 | Kathy Sue Thomas | Registered Nurse | 4150 Oakman St S, Salem, OR 97302-2733 | 2007-01-11 |
| 1154471928 | Jeannie Lynn Richardson | Registered Nurse | 4590 Swegle Rd Ne, Salem, OR 97301-2012 | 2007-01-11 |
| 1275634420 | Lora Jean Hurlburt | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2006-09-26 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.