LISA RENEE MATLOCK

SALEM, OR
NPI1669703641
Former NameLISA RENEE LOGIUDICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201050187NP)
Enumeration Date2010-01-15
Last Update Date2022-03-31
Business Address
Mrs. LISA RENEE MATLOCK FNP
2020 CAPITOL ST NE
SALEM, OR 97301-0644
Phone number: 503-399-2424
Mailing Address
Mrs. LISA RENEE MATLOCK FNP
890 OAK ST SE
SALEM, OR 97301-3905
Phone number: 503-561-5200
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