| Carol Lynne Sticker, PA-C | |
|
4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | |
| (503) 215-5526 | |
| (503) 416-7377 |
| Full Name | Carol Lynne Sticker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 4805 Ne Glisan St Ste 6n60, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639375405 | NPI | - | NPPES |
| 500605459 | Medicaid | OR | |
| 2000682 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA194156 (Oregon) | Primary |
| 363A00000X | Physician Assistant | (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Lynne Sticker, PA-C 847 Ne 19th Ave Ste 300, Portland, OR 97232-2686 Ph: (503) 963-2801 | Carol Lynne Sticker, PA-C 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 Ph: (503) 215-5526 |
James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708 | |
David Pritchett, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067 | |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000 | |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 | |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670 |