Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carey Wickham

Individual provider Surgery Physician · NPI 1750820007

Carey Wickham is a Colorectal Surgery (Proctology) in Portland, Oregon. Graduated from George Washington University School of Medicine in 2015, 11 years ago. Practices with Northwest Minimally Invasive Surgery, LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
11
Trained at
George Washington University School of Medicine
Licensed in
CA, OR
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4805 NE Glisan St Ste 6N60
Portland, OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11000 Sw Stratus St Ste 205, Beaverton, OR 97008-7104 — (503) 281-0561

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD212636 (OR)
Surgery Physician Taxonomy 208600000X · Licence 145897 (CA)

Record details

NPI number1750820007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2017
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address541 Ne 20th Ave Ste 225, Portland, OR 97232-2895

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Northwest Minimally Invasive Surgery, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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