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DELISA VAN DYKE L.M.T.
NPI 1174924021
Massage Therapist in Dundee, OR

Active since September 10, 2014
940 SE LOCUST ST, DUNDEE, OR 97115(503) 915-6022 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Delisa Van Dyke L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELISA VAN DYKE L.M.T. (NPI 1174924021) is an individual massage therapist in Dundee, Oregon, licensed in Oregon (17096) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1174924021
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDELISA VAN DYKECredential: L.M.T.
Location Address940 SE LOCUST STDundee, OR 97115-9630
Mailing Address940 Se Locust StDundee, OR 97115-9630 · (503) 915-6022
Phone(503) 915-6022
Sole ProprietorYes
Enumeration DateSeptember 10, 2014
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1174924021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 17096
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
940 SE LOCUST ST, Dundee, OR 97115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delisa Van Dyke's NPI number?

The NPI number for Delisa Van Dyke is 1174924021. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Where is Delisa Van Dyke located?

Delisa Van Dyke practices at 940 SE Locust St, Dundee, OR 97115. The listed phone number is (503) 915-6022.

What is Delisa Van Dyke's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Delisa Van Dyke was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.