| Delisa Van Dyke, LMT | |
|
940 Se Locust St, Dundee, OR 97115-9630 | |
| (503) 915-6022 | |
| Not Available |
| Full Name | Delisa Van Dyke |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 940 Se Locust St, Dundee, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174924021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 17096 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Delisa Van Dyke, LMT 940 Se Locust St, Dundee, OR 97115-9630 Ph: (503) 915-6022 | Delisa Van Dyke, LMT 940 Se Locust St, Dundee, OR 97115-9630 Ph: (503) 915-6022 |
Ms. Mackenzie Parkinson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 N Highway 99w, Dundee, OR 97115 Phone: 503-449-6573 Fax: 503-537-0383 | |
Julianna Wood, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 999 Sw View Crest Dr, Dundee, OR 97115 Phone: 503-575-5894 |