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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. STACEY WAYNE DYKES, OTA

Active

MR. STACEY WAYNE DYKES, OTA is a Occupational Therapy Assistant healthcare provider located in MILWAUKIE, Oregon. NPI 1750547139 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MILWAUKIE, OR

Registration Details

NPI Number
1750547139
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2008 (17.836125974477 yrs)
Last Updated
Aug 5, 2008
License
38 (CA)

Practice Information

Address
4560 SE INTERNATIONAL WAY, SUITE 100
CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR, 97222
Browse OR providers · Browse ZIP 97222
Phone
9712065200
Fax
9712065209
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MILWAUKIE, OR

Name Credential NPI
CARLA JEAN SMITH CERTIFIED OTA 1184715955
CELINA GREEN CERTIFIED OCCUPATION 1104917962
MISS JUDY MARIE HARBIN CERT OCC THER ASSIST 1114018637
DIANE MEDINA CERTIFIED OCCUPATION 1346332624
STEPHANIE BROWN CERT OCC THER ASSIST 1134211675
DAWN ROANE CERTIFIED OCCUPATION 1043302581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.