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

Karly Glenn

Individual provider Medical Physician Assistant · NPI 1679255004

Karly Glenn is a Physician Assistant in Lake Oswego, Oregon. Qualified in 2024, 2 years ago. Practices with Virginia Garcia Memorial Health Center, a 88-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023

Practice location Address checks out

16463 Boones Ferry Rd Ste 300
Lake Oswego, OR 97035-4376
Phone: (503) 658-9351
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 PA222423 (OR)

Record details

NPI number1679255004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2023
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035-4376

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Virginia Garcia Memorial Health Center — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lake Oswego