Individual
MRS. ROBERTA HELEN VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5342
(503) 588-5353
Mailing address
16420 NW ORCHARD VIEW RD, MCMINNVILLE, OR 97128-8080
(503) 472-7168
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
000022302N7WHCNP-PP
OR
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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