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MS. KATHLEEN GORDON WALL PA-C
NPI 1649384165
Physician Assistant - Medical in Vancouver, WA

Active since August 19, 2006
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 418-6001 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Gordon Wall Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN GORDON WALL PA-C (NPI 1649384165) is an individual medical provider in Vancouver, Washington, licensed in Washington (PA10003853) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649384165
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KATHLEEN GORDON WALLCredential: PA-C
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-6055
Mailing Address5924 Ne 25th AvePortland, OR 97211-6132 · (503) 493-0546
Phone(360) 418-6001
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649384165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10003853
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MELISSA DAWN HILL
Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (800) 813-2000
ABERA GELETO ABU PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 449-1600
IMOGEN KANE
Student in an Organized Health Care Education/Training Program
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 418-6001
DR. MARVIN ARNOLD HELDE O.D.
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Clark County (360) 896-4456
TIMOTHY W WEST MA, LPC, CDP, CADC 3
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6275
BRODY TUCKER LCSW
Social Worker (Clinical)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 558-2456
DR. MICHELE LYNN SEQUEIRA MD
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6208
CATHERINE MYRA STROUSE M.D.
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (866) 420-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wall's NPI number?

The NPI number for Kathleen Wall is 1649384165. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Kathleen Wall located?

Kathleen Wall practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 418-6001.

What is Kathleen Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kathleen Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.