LISA DIANNE DOHERTY

SALEM, OR
NPI1407302540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: OR  201240192RN)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- LISA DIANNE DOHERTY RN, BSN
4080 REED RD SE
SALEM, OR 97302-1357
Phone number: 503-507-0013
Mailing Address
-- LISA DIANNE DOHERTY RN, BSN
5174 PERRY ST NE
KEIZER, OR 97303-2496
Phone number: 503-507-0013
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