Individual provider · Type 1 NPI

Matthew French Wallace, PA-C

Physician Assistant · Vancouver, WA

NPI number 1386091015 Active

Practice location

2415 NE 134th St Ste 205
Vancouver, WA 98686-3032

Call (360) 576-5060 Map

Fax (360) 576-1133

Mailing address

1100 3rd St
Tillamook, OR 97141-3402

Other practice locations

2730 SW Moody Ave # CL5PA, Portland, OR 97201-5042 · (503) 494-3633
2730 SW Moody Ave # CL5PA, Portland, OR 97201-5042 · (503) 494-3633
1100 3rd St, Tillamook, OR 97141-3402 · (503) 842-5546

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Physician Assistant	363A00000X	60923310 (WA)
Physician Assistant Primary	363A00000X	PA184421 (OR)

Physician Assistant: 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, orde…

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About NPI 1386091015

Matthew French Wallace, PA-C's National Provider Identifier is 1386091015, issued on May 23, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 7, 2026.