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LARA DYANNE MATARRESE
NPI 1720959612
Student in an Organized Health Care Education/Training Program in Salem, OR

Active since September 15, 2025
4400 SALEM DALLAS HWY NW, SALEM, OR 97304(503) 991-5091 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Dyanne Matarrese NPPES

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

LARA DYANNE MATARRESE (NPI 1720959612) is an individual student in an organized health care education/training program in Salem, Oregon and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1720959612
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLARA DYANNE MATARRESE
Location Address4400 SALEM DALLAS HWY NWSalem, OR 97304-3338
Mailing Address4400 Salem Dallas Hwy NwSalem, OR 97304-3338 · (503) 991-5091
Phone(503) 991-5091
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1720959612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4400 SALEM DALLAS HWY NW, Salem, OR 97304
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Other Providers at the Same Location NPPES 20

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

CUNNINGHAM WORTH
Student in an Organized Health Care Education/Training Program
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
DR. LESLIE MONARCH LESLIE MONARCH LAC
Acupuncturist
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 208-6425
STIMSON COUNSELING, INC
Marriage & Family Therapist
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (209) 769-6412
CARMEN HILKE
Social Worker (Clinical)
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
MRS. MONIQUE JALCA LCSW
Social Worker (Clinical)
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
DR. SHAWN R CRISWELL LPC
Counselor (Mental Health)
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 575-6289
NATALIE NICOLE THAMERT LMT
Massage Therapist
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
HEALING PATHWAYS COUNSELING LLC
Community/Behavioral Health
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 798-7033

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 Lara Matarrese's NPI number?

The NPI number for Lara Matarrese is 1720959612. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Lara Matarrese located?

Lara Matarrese practices at 4400 Salem Dallas Hwy NW, Salem, OR 97304. The listed phone number is (503) 991-5091.

What is Lara Matarrese's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lara Matarrese was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.