Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Jacob Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1386393551

Christopher Jacob Wallace, MD is an Emergency Medicine in Mount Vernon, Washington. Qualified in 2022, 4 years ago. Practices with Northwest Emergency Physicians LLC, a 262-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Hospital Pkwy
Mount Vernon, WA 98274-2100
Phone: (360) 424-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD.MD.61629334 (WA)

Record details

NPI number1386393551
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2022
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1431 Sw 1st Ave, Ocala, FL 34471-6500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northwest Emergency Physicians Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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