Individual provider · Type 1 NPI
Tiffany Van Dyke
Respiratory/Developmental/Rehabilitative Specialist/Technologist · Cornelius, OR
NPI number
1265340731
Active
Practice location
1639 Baseline St Unit 123
Cornelius, OR 97113-0816
Mailing address
PO Box 123
Cornelius, OR 97113-0123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist Primary | 225500000X | COS-NT-953813 (OR) |
Respiratory/Developmental/Rehabilitative Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
About NPI 1265340731
Tiffany Van Dyke's National Provider Identifier is 1265340731, issued on Aug 27, 2026. The primary taxonomy on file is Respiratory/Developmental/Rehabilitative Specialist/Technologist (225500000X), and the practice location is in Cornelius, OR. The record was last updated on Aug 27, 2026.