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KENT WILLIAM WALLACE PA-C, ARNP
NPI 1770662835
Physician Assistant - Surgical in Everett, WA

Active since November 02, 2006
1321 COLBY AVE, MEDICAL STAFF OFFICE (PMG), EVERETT, WA 98201(425) 261-2000 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent William Wallace Pa-c, Arnp NPPES

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

KENT WILLIAM WALLACE PA-C, ARNP (NPI 1770662835) is an individual surgical provider in Everett, Washington, licensed in Washington (PA10000442) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1770662835
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKENT WILLIAM WALLACECredential: PA-C, ARNP
Location Address1321 COLBY AVE, MEDICAL STAFF OFFICE (PMG)Everett, WA 98201-1665
Mailing AddressPo Box 3360, Providence Health & ServicesPortland, OR 97208-3360 · (866) 366-2983
Phone(425) 261-2000
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1770662835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA10000442
1321 COLBY AVE, Everett, WA 98201
Open in Google Maps ↗

Other Identifiers 5

Other8803430WA · Railroad Medicare
Medicare UPINR30054WA
Other124775WA · Labor And Industries
Other91-1682959WA · Tin
OtherWA6512WA · Regence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

SAMUEL ROB GUYER MD
Surgery (Trauma Surgery)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
DR. EDWARD SCOTT CASSELMAN MD
Radiology (Diagnostic Radiology)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-4100
LINDSY J ALANIS MD
Internal Medicine
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
JAMES RAYMOND LARSON
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 258-3678
CREDENA HEALTH LLC
Pharmacy (Community/Retail Pharmacy)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-3555
MICHELLE HOPSTAD OTR/L
Occupational Therapist
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-3825
ARUNACHALAM EINSTEIN MD
Emergency Medicine
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
ROBERT E VANVALKENBURGH
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 258-3678

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 Kent Wallace's NPI number?

The NPI number for Kent Wallace is 1770662835. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Kent Wallace located?

Kent Wallace practices at 1321 Colby Ave Medical Staff Office (pmg), Everett, WA 98201. The listed phone number is (425) 261-2000.

What is Kent Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Kent Wallace accept?

Health plans from Providence Health Plan list Kent Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kent Wallace was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.