Carli McCormick, PA
NPI 1972329563ActiveIndividual· Physician Assistant· Lake Oswego, OR
Physician Assistant (PA) in Lake Oswego, Oregon, trained at Touro Un Col of Osteopathic Medicine, Henderson (class of 2024). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1972329563 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 27, 2024 |
| Last updated in NPPES | Jan 5, 2025 |
| Certified by provider | Jan 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA222750 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|
Education and affiliations
| Medical school | Touro Un Col of Osteopathic Medicine, Henderson |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
Medical group
- Summit Orthopaedics, LLPLake Oswego, OR · 17 clinicians
Hospital affiliations
- Legacy Emanuel Medical CenterPortland, OR
- Legacy Meridian Park Medical CenterTualatin, OR
- Legacy Mount Hood Medical CenterGresham, OR
- Legacy Salmon Creek Medical CenterVancouver, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 physician assistants in Lake Oswego · All physician assistants in Oregon