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

Laura French Wallace

Individual provider Physician Assistant · NPI 1033597505

Laura French Wallace is a Physician Assistant in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1015 NW 22nd Ave
Portland, OR 97210
Phone: (503) 413-8090
Fax: (503) 413-7490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (858) 603-1815

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA179418 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033597505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2015
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Portland