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

Kathryn Ruth Van Dyne

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710756937

Kathryn Ruth Van Dyne is an Addiction (Substance Use Disorder) Counselor in Lebanon, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

111 N Main St Ste B
Lebanon, OR 97355-2869
Phone: (541) 451-6388
Fax: (541) 812-2056
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1710756937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2023
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

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