Individual provider · Type 1 NPI

Chase E. Wallace, PA-C

Physician Assistant · Portland, ME

NPI number 1699184358 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Call (207) 662-2526 Map

Mailing address

3600 Broadway Dept 41
Oakland, CA 94611-5730

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1480 (ME)
Physician Assistant Primary 363A00000X55368 (CA)

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 1699184358

Chase E. Wallace, PA-C's National Provider Identifier is 1699184358, issued on Aug 7, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, ME. The record was last updated on Aug 5, 2026.