MADELYN KOONTZ, RD, LD

Dietitian, Registered

Active Individual
NPI: 1265484364

Practice Address

3878 BEVERLY AVE NE
Salem, OR 97305

Phone: (503) 363-6065

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 24 (OR)

Frequently Asked Questions

NPI 1265484364 is the National Provider Identifier for MADELYN KOONTZ, RD, LD, a Dietitian, Registered provider located in Salem, OR. This NPI was enumerated on May 17, 2006.
MADELYN KOONTZ, RD, LD practices at 3878 BEVERLY AVE NE, Salem, OR 97305.

Quick Facts

NPI
1265484364
Type
Individual
Enumerated
May 17, 2006
Last Updated
Jul 8, 2007

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