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LISA DIANNE DOHERTY RN, BSN
NPI 1407302540
Registered Nurse - Community Health in Salem, OR

Active since August 29, 2016
4080 REED RD SE, SALEM, OR 97302(503) 507-0013(503) 961-1283 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Dianne Doherty Rn, Bsn NPPES

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

LISA DIANNE DOHERTY RN, BSN (NPI 1407302540) is an individual community health provider in Salem, Oregon, licensed in Oregon (201240192RN) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1407302540
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameLISA DIANNE DOHERTYCredential: RN, BSN
Location Address4080 REED RD SESalem, OR 97302-1357
Mailing Address5174 Perry St NeKeizer, OR 97303-2496 · (503) 507-0013 · Fax (503) 961-1283
Phone(503) 507-0013
Fax(503) 961-1283
Sole ProprietorYes
Enumeration DateAugust 29, 2016
✔ NPI 1407302540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in OR · 201240192RN
4080 REED RD SE, Salem, OR 97302
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Other Providers at the Same Location NPPES 2

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

SHANGRI-LA CORPORATION
Community Based Residential Treatment Facility, Mental Illness
4080 REED RD SE, SUITE 150
SALEM, OR 97302
Marion County (503) 581-1732
MS. DOMINIQUE MUGUET SCHOESSLER
Case Manager/Care Coordinator
4080 REED RD SE
SALEM, OR 97302
Marion County (503) 581-1732

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 Lisa Doherty's NPI number?

The NPI number for Lisa Doherty is 1407302540. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Lisa Doherty located?

Lisa Doherty practices at 4080 Reed Rd SE, Salem, OR 97302. The listed phone number is (503) 507-0013.

What is Lisa Doherty's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Lisa Doherty was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.