Individual provider · Type 1 NPI
Karly Glenn
Medical Physician Assistant · Lake Oswego, OR
NPI number
1679255004
Active
Practice location
16463 Boones Ferry Rd Ste 300
Lake Oswego, OR 97035-4376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA222423 (OR) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Candace TickleFamily Nurse Practitioner Lake Oswego, OR NPI 1366059347
- Daniel Alexander Ananyev, DOFamily Medicine Physician Lake Oswego, OR NPI 1255678439
- Lilian Renata Bornio CarrilloPhysician Assistant Lake Oswego, OR NPI 1275127979
- Valaree Ruth Lehrman, FNP-CFamily Nurse Practitioner Lake Oswego, OR NPI 1598493009
Other medical physician assistant providers in Lake Oswego
About NPI 1679255004
Karly Glenn's National Provider Identifier is 1679255004, issued on Aug 4, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Oswego, OR. The record was last updated on Dec 10, 2025.