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

Carol Lynne Sticker, PA-C

Individual provider Medical Physician Assistant · NPI 1639375405

Carol Lynne Sticker, PA-C is a Medical Physician Assistant in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2007.

Licensed in
OR, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4805 NE Glisan St Ste 6N60
Portland, OR 97213-2933
Phone: (503) 215-5526
Fax: (503) 416-7377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA194156 (OR)
Physician Assistant Taxonomy 363A00000X (WA)

Record details

NPI number1639375405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2007
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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