Individual provider · Type 1 NPI

Maci Van Dyke

Specialist · Corvallis, OR

NPI number 1548041148 Active

Practice location

996 NW Circle Blvd
Corvallis, OR 97330-1485

Call (541) 768-4370 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCAE-P-10235220 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7 other providers at this address

Other specialist providers in Corvallis

See all in Corvallis →

About NPI 1548041148

Maci Van Dyke's National Provider Identifier is 1548041148, issued on Oct 10, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Corvallis, OR. The record was last updated on Oct 10, 2023.