Individual
KARLY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16463 BOONES FERRY RD STE 300, LAKE OSWEGO, OR 97035-4376
(503) 658-9351
Mailing address
16463 BOONES FERRY RD STE 300, LAKE OSWEGO, OR 97035-4376
(503) 658-9351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA222423
OR
Other
Enumeration date
08/04/2023
Last updated
12/10/2025
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