Kristina Marie Wallace PA-C

  • NPI 1417326984
According to our database, the NPI number for Kristina Marie Wallace PA-C is 1417326984 and activated since 8 years ago. Kristina Marie Wallace PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 537 Union Ave, Grants Pass, OR 97527. You can also contact Kristina Marie Wallace PA-C via telephone number is (541) 479-6777. Provider NPI information was last updated on 06/08/2020.

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Overview of Kristina Marie Wallace PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/15/2015
  • Last updated: 06/08/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA174747
  • License State: OR

Provider Mailing Address

  • Address: 1115 Se 164th Ave Dept 358
    Vancouver, WA 98683
  • Phone: 360-729-1253
  • Fax: 360-729-3185

Provider Practice Location

  • Address: 537 Union Ave
    Second Floor
    Grants Pass, OR 97527
  • Phone: 541-479-6777
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA174747
  • License State: OR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kristina Marie Wallace PA-C?
  • A: The npi number for Kristina Marie Wallace PA-C is 1417326984.
  • Q: What are Kristina Marie Wallace PA-C's specialties?
  • A: Kristina Marie Wallace PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kristina Marie Wallace PA-C?
  • A: The medical license number for Kristina Marie Wallace PA-C is PA174747 and issued in OR in USA.
  • Q: Where is Kristina Marie Wallace PA-C practice location?
  • A: Kristina Marie Wallace PA-C is practicing at 537 Union Ave, Grants Pass, OR 97527.
  • Q: How to contact Kristina Marie Wallace PA-C?
  • A: You can contact Kristina Marie Wallace PA-C via 541-479-6777.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
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Sports Physician
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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