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Maci Van Dyke
Specialist in Corvallis, Oregon
NPI 1548041148

Maci Van Dyke is a Specialist based in Corvallis, OR. Maci Van Dyke practices in Corvallis, OR. The NPI Number for Maci Van Dyke is 1548041148 and holds a License No. CAE-P-10235220 (Oregon).

The current practice location address for Maci Van Dyke is 996 Nw Circle Blvd, Corvallis, OR and can be reached out via phone at 541-768-4370.

Location: 996 Nw Circle Blvd, Corvallis, OR, 97330-1485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548041148
Provider Name
Maci Van Dyke
Credential
Provider Entity Type
Individual
Gender
Female
Address
996 Nw Circle Blvd, Corvallis, OR, 97330-1485
Phone Number
541-768-4370
Fax Number
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
996 Nw Circle Blvd
City
Corvallis
State
Oregon
Zip
97330-1485
Phone Number
541-768-4370
Fax Number
person
Provider Business Mailing Address Details
Address
996 Nw Circle Blvd
City
Corvallis
State
Oregon
Zip
97330-1485
Phone Number
541-768-4370
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CAE-P-10235220 (Oregon)
Definition
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.
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