Kent William Wallace is a Surgical Physician Assistant based in Portland, WA and is specialized in Surgical. Kent William Wallace practices in Everett, WA and has the professional credentials of PA-C,ARNP. The NPI Number for Kent William Wallace is 1770662835 and holds a License No. PA10000442 (Washington).
The current practice location address for Kent William Wallace is 1321 Colby Ave, Everett, WA and can be reached out via phone at 425-261-2000. You can also correspond with Kent William Wallace through the mailing address at PO BOX 3360, PORTLAND, OR - 97208-3360 (mailing address contact number: 866-366-2983).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124775 | 01 | WA | LABOR AND INDUSTRIES |
| WA6512 | 01 | WA | REGENCE |
| 8803430 | 01 | WA | RAILROAD MEDICARE |
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