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

Matthew French Wallace, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386091015

Matthew French Wallace, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2017, 9 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
9
Licensed in
OR, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Vancouver, WA
Fax: (360) 576-1133

Additional practice locations (3)

  • 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 & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA184421 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence 60923310 (WA)

Record details

NPI number1386091015
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 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

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