Individual
DR. NATHAN THOMAS VAN DYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-7551
(503) 494-4997
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-7551
(503) 494-4997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125-050631
IL
207P00000X
Emergency Medicine Physician
Primary
MD198821
OR
Other
Enumeration date
05/16/2008
Last updated
08/28/2022
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