Search › Washington › 103TC0700X

Carla Van Dam, PHD

NPI 1548773997 · on the registry since 2017 · sole proprietor

Practice

Address
2620 Rw Johnson Blvd Sw Suite 204
Tumwater, WA 98501
Phone
(360) 956-0271

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-16

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 Washington