SUFANA DYCK LMT
NPI 1639431539
Massage Therapist in Portland, OR

Active since June 15, 2012
4475 SW SCHOLLS FERRY RD, SUITE 201, PORTLAND, OR 97225(503) 707-7953 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sufana Dyck Lmt NPPES

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

SUFANA DYCK LMT (NPI 1639431539) is an individual massage therapist in Portland, Oregon, licensed in Oregon (14710) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1639431539
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUFANA DYCKCredential: LMT
Location Address4475 SW SCHOLLS FERRY RD, SUITE 201Portland, OR 97225-1955
Mailing Address4475 Sw Scholls Ferry Rd, Suite 201Portland, OR 97225-1955
Sole ProprietorYes
Enumeration DateJune 15, 2012
NPI 1639431539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in OR · 14710
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.
Also ListedHealth EducatorTaxonomy 174H00000X
4475 SW SCHOLLS FERRY RD, Portland, OR 97225

Other Names 1

Professional Name (2)Sefana Wilde Lmt

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
4475 SW SCHOLLS FERRY RD, SUITE 258
PORTLAND, OR 97225
Chiropractor
4475 SW SCHOLLS FERRY RD, STE 210
PORTLAND, OR 97225
Physical Therapist
4475 SW SCHOLLS FERRY RD, SUITE 258
PORTLAND, OR 97225
Mechanotherapist
4475 SW SCHOLLS FERRY RD, SUITE 201
PORTLAND, OR 97225
Mechanotherapist
4475 SW SCHOLLS FERRY RD, #201
PORTLAND, OR 97225
Acupuncturist
4475 SW SCHOLLS FERRY RD, SUITE 210
PORTLAND, OR 97225
Massage Therapist
4475 SW SCHOLLS FERRY RD
PORTLAND, OR 97225
Massage Therapist
4475 SW SCHOLLS FERRY RD, 201
PORTLAND, OR 97225

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 Sufana Dyck's NPI number?

The NPI number for Sufana Dyck is 1639431539. It was assigned to this individual provider in the NPPES registry on June 15, 2012. The provider is also known as Sefana Wilde Lmt.

Where is Sufana Dyck located?

Sufana Dyck practices at 4475 SW Scholls Ferry Rd Suite 201, Portland, OR 97225. The listed phone number is (503) 707-7953.

What is Sufana Dyck'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 Sufana Dyck was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.