Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Christopher M B Wallis, PA-C

Individual provider Physician Assistant · NPI 1891866513

Mr. Christopher M B Wallis, PA-C is a Physician Assistant in Lebanon, Oregon. Qualified in 2006, 20 years ago. Practices with Providence Health and Services Oregon, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

191 N Main St
Lebanon, OR 97355-2870
Phone: (541) 451-7940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 E Main St, Othello, WA 99344 — (509) 488-5256

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01247 (OR)

Record details

NPI number1891866513
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Health And Services Oregon — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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