Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alisha Ashurst Wallace, PA-C

Individual provider Surgical Physician Assistant · NPI 1487627345

Mrs. Alisha Ashurst Wallace, PA-C is a Physician Assistant in Kirkland, Washington. Graduated from University of Alabama School of Medicine in 1999, 27 years ago. Practices with King County Public Hospital District No 2, a 585-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Trained at
University of Alabama School of Medicine
Licensed in
WA
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

12303 NE 130th Ln Ste 450
Kirkland, WA 98034-3032
Phone: (425) 899-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61642884 (WA)

Record details

NPI number1487627345
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESJuly 13, 2026
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice King County Public Hospital District No 2 — 585 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kirkland