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

Dr. Nathan Thomas Van Dyk, MD

Individual provider Emergency Medicine Physician · NPI 1891952057

Dr. Nathan Thomas Van Dyk, MD is an Emergency Medicine in Portland, Oregon. Graduated from University of Washington School of Medicine in 2005, 21 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Illinois and Oregon.

Years since qualifying
21
Trained at
University of Washington School of Medicine
Licensed in
IL, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-7551
Fax: (503) 494-4997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD198821 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125-050631 (IL)

Record details

NPI number1891952057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2008
Last updated in NPPESAugust 28, 2022
Certification dateAugust 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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