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Tiffany Van Dyke
NPI 1265340731 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1639 Baseline St Unit 123
Cornelius, OR 97113 - Phone
- (503) 318-7936
Registry record
- Primary taxonomy
- 225500000X
225500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon