Wickham, Carey

Wickham, Carey is an sole proprietor health care provider with primary practice located at 4805 Ne Glisan St Ste 6N60 , Portland OR 97213-2933. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Wickham, Carey can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N60 Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 145897 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD212636 Oregon

Profile Details

NPI number 1750820007
LBN Legal business name Wickham, Carey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2017
Last updated Apr 21st, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750820007 NPPES
Washington MEDICAID 2232453
Washington MEDICAID 500810902

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