Active NPI
Sal Jamie Carso, PA-S
- Physician Assistant
- Portland, OR
National Provider Identifier
1013776186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61641874
- Practice address
- 222 SE 8TH Ave Ste 551
Portland, OR 97214-1206 - Phone
- (503) 352-7272
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PA222328 | OR | |
| Physician Assistant | 363A00000X | PA61641874 | WA | Primary |
Addresses
Primary practice location
222 SE 8TH Ave Ste 551
Portland, OR 97214-1206
Mailing address
7307 N Buchanan Ave
Portland, OR 97203-3903
Phone (541) 538-0840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61641874 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Physician Assistant | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Vituity
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1447484274
Physician Assistant
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1013776186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 N BUCHANAN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972033903",
"telephone_number": "541-538-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SE 8TH AVE STE 551",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141206",
"telephone_number": "503-352-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSO",
"first_name": "SAL",
"middle_name": "JAMIE",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "PA222328",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61641874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.