Individual provider · Type 1 NPI

Madelyn Jo Koontz, RD, LD

Registered Dietitian · Salem, OR

NPI number 1265484364 Active

Practice location

3878 Beverly Ave NE
Salem, OR 97305-1349

Call (503) 363-6065 Map

Fax (503) 585-3523

Mailing address

3030 Lawnridge St SW
Albany, OR 97321-3444

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X24 (OR)

Registered Dietitian: 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…

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About NPI 1265484364

Madelyn Jo Koontz, RD, LD's National Provider Identifier is 1265484364, issued on May 17, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Salem, OR. The record was last updated on Jul 13, 2026.