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

Individual provider Physician Assistant · NPI 1699184358

Mrs. Chase E Wallace, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
12
Licensed in
CA, ME
In the registry since
2014
Specialties on file
2
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

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55368 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA1480 (ME)

Record details

NPI number1699184358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address3600 Broadway Dept 41, Oakland, CA 94611-5730

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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