Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Delisa Van Dyke, LMT

Individual provider Massage Therapist · NPI 1174924021

Delisa Van Dyke, LMT is a Massage Therapist in Dundee, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

940 SE Locust St
Dundee, OR 97115-9630
Phone: (503) 915-6022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17096 (OR)

Record details

NPI number1174924021
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 23, 2014
Mailing address940 Se Locust St, Dundee, OR 97115-9630

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