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
Address 191 N Main St, Lebanon, Oregon
Phone Number 5414517940
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1891866513
Provider Enumeration Date 2006-11-13
Last Updated Date 2020-11-04

Provider Mailing Address Detail

Address 191 N Main St
City Lebanon
State Oregon (OR)
Post Code 973552870
Phone Number 5414517940
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
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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FAQs about Christopher M B Wallis

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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