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CAROL LYNNE STICKER PA-C
NPI 1639375405
Physician Assistant - Medical in Portland, OR

Active since June 26, 2007
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213(503) 215-5526(503) 416-7377 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Jan 21, 2021 (2 updates tracked since 2021).

About Carol Lynne Sticker Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL LYNNE STICKER PA-C (NPI 1639375405) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA194156) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1639375405
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAROL LYNNE STICKERCredential: PA-C
Location Address4805 NE GLISAN ST STE 6N60Portland, OR 97213-2933
Mailing Address847 Ne 19th Ave Ste 300Portland, OR 97232-2686 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 215-5526
Fax(503) 416-7377
Sole ProprietorNo
Enumeration DateJune 26, 2007
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1639375405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA194156
Also ListedPhysician AssistantTaxonomy 363A00000X
4805 NE GLISAN ST STE 6N60, Portland, OR 97213
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Other Identifiers 2

Medicaid2000682WA
Medicaid500605459OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON M GERRY M.D.
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
DR. DANIEL DAVILA BRADLEY M.D.
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 935-8379
LAUREN ELIZABETH ORR MD
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
TALHA ADIL RAFEEQI MD
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 935-8379
DR. RODRIGO PEDRAZA ROSALES M.D.
Colon & Rectal Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
DR. EPHRAIM SHIN-TIAN TANG MD
Transplant Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
DR. CHET W HAMMILL MD
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
CAREY WICKHAM
Colon & Rectal Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Sticker's NPI number?

The NPI number for Carol Sticker is 1639375405. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Carol Sticker located?

Carol Sticker practices at 4805 NE Glisan St Ste 6n60, Portland, OR 97213. The listed phone number is (503) 215-5526.

What is Carol Sticker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Carol Sticker accept?

Health plans from PacificSource Health Plans list Carol Sticker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Sticker was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.