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Matthew French Wallace, PA-C
Physician Assistant in Tillamook, Oregon
NPI 1386091015

Matthew French Wallace is a Physician Assistant based in Tillamook, OR. Matthew French Wallace practices in Tillamook, OR and has the professional credentials of PA-C. The NPI Number for Matthew French Wallace is 1386091015 and holds a License No. 60923310 (Oregon).

The current practice location address for Matthew French Wallace is 1100 3Rd St, Tillamook, OR and can be reached out via phone at 503-842-5546.

Location: 1100 3Rd St, Tillamook, OR, 97141-3402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386091015
Provider Name
Matthew French Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1100 3Rd St, Tillamook, OR, 97141-3402
Phone Number
503-842-5546
Fax Number
Provider Enumeration Date
05/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60923310 01 WA WA STATE LICENSE
PA184421 01 OR OR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1100 3Rd St
City
Tillamook
State
Oregon
Zip
97141-3402
Phone Number
503-842-5546
Fax Number
person
Provider Business Mailing Address Details
Address
1100 3Rd St
City
Tillamook
State
Oregon
Zip
97141-3402
Phone Number
503-842-5546
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
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Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60923310 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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