Individual
CAREY WICKHAM
Active
Individual
CAREY WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
145897
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
MD212636
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2232453
—
WA
05
—
500810902
—
OR
Enumeration date
02/20/2017
Last updated
04/21/2026
Update your record
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