Maci Van Dyke

Specialist · Corvallis, OR

Individual Active NPI

NPI number 1548041148

Practice location

996 NW Circle Blvd
Corvallis, OR 97330-1485
Phone
(541) 768-4370

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NPI record

NPI
1548041148
Entity type
Individual (Type 1)
Enumeration date
October 10, 2023
Last updated
October 10, 2023
Certified
October 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X CAE-P-10235220 OR

About Maci Van Dyke

Maci Van Dyke is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 996 NW Circle Blvd, Corvallis, OR 97330-1485. The NPI number 1548041148 was assigned on October 10, 2023 and the record was last updated on October 10, 2023.

Maci Van Dyke lists a license in the registry: #CAE-P-10235220 (OR) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maci Van Dyke?

The NPI number is 1548041148.

What is the phone number of Maci Van Dyke?

The phone number listed for the practice location is (541) 768-4370.

Where is Maci Van Dyke located?

996 NW Circle Blvd, Corvallis, OR 97330-1485.

What is the taxonomy code for Maci Van Dyke?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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