IndividualActive
Christopher Wallis, PA-C
NPI 1891866513 · Physician Assistant · Lebanon, OR
Provider details
- NPI number
- 1891866513
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA01247 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
191 N Main St
Lebanon, OR 97355-2870
Phone: (541) 451-7940
Street-level locationGet directions
Mailing address
Po Box 1193
Corvallis, OR 97339-1193
Additional practice locations (1)
- 140 E Main StOthello, WA 99344Phone: (509) 488-5256Fax: (509) 488-9939
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.