Individual
MRS. NATALLIE JOY VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
271 COLUMBIA BLVD, SAINT HELENS, OR 97051-2021
(503) 397-0391
(503) 366-1067
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12390
—
OR
Enumeration date
05/10/2012
Last updated
11/30/2023
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