Lisa Dawn Theobald, PMHNP is a psychiatric/mental health nurse practitioner in Salem, OR with 2 years of experience. Lisa Dawn Theobald, PMHNP NPI is 1366136228. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2264 MCGILCHRIST ST SE STE 100
SALEM, OR
ZIP 97302-008
Phone: (503) 930-1812
The NPI 1366136228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/5/2023 and was last updated on 3/13/2024.