Christopher M B Wallis in Lebanon - Physician Assistant
Christopher M B Wallis - NPI 1891866513
Christopher M B Wallis is a Physician Assistant in Lebanon, Oregon. Christopher M B Wallis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christopher M B Wallis is 1891866513. The last update date is 2020-11-04.
Christopher M B Wallis's current location address is 191 N Main St, Lebanon, Oregon. You can contact this provider via phone number 5414517940. The mailing address for Christopher M B Wallis is 191 N Main St, Lebanon, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Christopher M B Wallis |
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Address | 191 N Main St, Lebanon, Oregon |
Phone Number | 5414517940 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1891866513 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
Address | 191 N Main St |
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City | Lebanon |
State | Oregon (OR) |
Post Code | 973552870 |
Phone Number | 5414517940 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA01247 |
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 perfor |
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What is the unique 10-digit identifier code issued to Christopher M B Wallis by the Centers for Medicare & Medicaid Services?
The Christopher M B Wallis has been assigned the NPI (National Provider Identifier) 1891866513 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Christopher M B Wallis?
The Christopher M B Wallis is situated at 191 N Main St, in the city of Lebanon, state of OR, with the zip code 973552870.
What is Christopher M B Wallis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Christopher M B Wallis is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Christopher M B Wallis receive its 1891866513 assignment from the Centers for Medicare & Medicaid Services?
The Christopher M B Wallis was assigned its 1891866513 by the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date were the details pertaining to Christopher M B Wallis last refreshed?
The information related to the Christopher M B Wallis, including its address, specialty, and other relevant details, was last updated on 2020-11-04.
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