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Carolina Van Tulder, PA-C
NPI 1417433145 · on the registry since 2018
Practice
- Address
- 10215 Sw Hall Blvd
Tigard, OR 97223 - Phone
- (503) 245-2415
- Fax
- (503) 244-5963
- Organisation at this address
- Dermatology Associates,P.C.
Mountain West Derm-Blackhart, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 4004 Kruse Way Pl Ste 220, Lake Oswego, OR
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon