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

Carli McCormick, PA

Individual provider Physician Assistant · NPI 1972329563

Carli McCormick, PA is a Physician Assistant in Lake Oswego, Oregon. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2024, 2 years ago. Practices with Summit Orthopaedics, LLP, an 18-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
OR
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone: (503) 850-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA222750 (OR)

Record details

NPI number1972329563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 27, 2024
Last updated in NPPESJanuary 5, 2025
Certification dateJanuary 5, 2025
Mailing address4103 Mercantile Dr, Lake Oswego, OR 97035-2556

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2024 (2 years in practice)
Group practice Summit Orthopaedics, Llp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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