Individual
CAROLINA ALEXANDRA VAN TULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10215 SW HALL BLVD, TIGARD, OR 97223-8809
(503) 245-2415
(503) 244-5963
Mailing address
10215 SW HALL BLVD, TIGARD, OR 97223-8809
(503) 245-2415
(503) 244-5963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA214771
OR
Other
Enumeration date
07/16/2018
Last updated
04/15/2025
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