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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADELYN JO KOONTZ RD, LD
NPI 1265484364
Dietitian, Registered in Salem, OR

Active since May 17, 2006
3878 BEVERLY AVE NE, SALEM, OR 97305(503) 363-6065(503) 585-3523 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madelyn Jo Koontz Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELYN JO KOONTZ RD, LD (NPI 1265484364) is an individual dietitian, registered in Salem, Oregon, licensed in Oregon (24) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1265484364
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMADELYN JO KOONTZCredential: RD, LD
Location Address3878 BEVERLY AVE NESalem, OR 97305-1349
Mailing Address3030 Lawnridge St SwAlbany, OR 97321-3444 · (541) 926-9216
Phone(503) 363-6065
Fax(503) 585-3523
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1265484364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OR · 24
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3878 BEVERLY AVE NE, Salem, OR 97305
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELINOR TAYLOR QMHP
Counselor (Mental Health)
3878 BEVERLY AVE NE, SUITE H
SALEM, OR 97305
Marion County (503) 576-4600
WENDY LEE PATZKE BS, QMHA, CADC I
Counselor (Addiction (Substance Use Disorder))
3878 BEVERLY AVE NE
SALEM, OR 97305
Marion County (503) 399-0670
JOHN ACKLEY CADC II, CGAC I,QMHA
Counselor
3878 BEVERLY AVE NE, BLDG H, SUITE 5
SALEM, OR 97305
Marion County (503) 399-0670
MELINDA ROSSOW
Social Worker
3878 BEVERLY AVE NE, BLDG H, SUITE 11
SALEM, OR 97305
Marion County (503) 576-4571
DWAYNE GRAVES CRM
Counselor (Addiction (Substance Use Disorder))
3878 BEVERLY AVE NE, BUILDING H SUITE 5
SALEM, OR 97305
Marion County (503) 399-0670
DR. JONATHAN CHRYSTAL QMHP
Counselor (Mental Health)
3878 BEVERLY AVE NE, H SUITE 11
SALEM, OR 97305
Marion County (503) 576-4600
ROSEMARY GUILD
Community Health Worker
3878 BEVERLY AVE NE, BLDG. H SUITE 11
SALEM, OR 97305
Marion County (503) 576-4600
MS. CHRISTINE ROBINETTE LCSW
Social Worker (Clinical)
3878 BEVERLY AVE NE, #1
SALEM, OR 97305
Marion County (503) 363-7181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madelyn Koontz's NPI number?

The NPI number for Madelyn Koontz is 1265484364. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Madelyn Koontz located?

Madelyn Koontz practices at 3878 Beverly Ave NE, Salem, OR 97305. The listed phone number is (503) 363-6065.

What is Madelyn Koontz's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Madelyn Koontz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.