Physician Assistant
LAURA FRENCH WALLACE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1033597505 · enumerated 2015-05-15 · record updated 2020-07-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: LAURA WALLACE
Addresses and phones
- Practice location 1015 NW 22ND AVE, PORTLAND, OR, 97210 (503) 413-8090 Fax (503) 413-7490 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 4037, PORTLAND, OR, 97208-4037 (503) 413-4048 Fax (503) 413-2910 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA179418 OR
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
PORTLAND, OR, 97210
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.