Joanne M Wallis
PNP | Nurse Practitioner - Pediatrics
19005 Se 34th St, Vancouver
Washington, 98683-1450
360-726-6724
Joanne M Wallis is a Vancouver, Washington based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Joanne M Wallis is AP30006123 for Primary Care in Washington. Her current practice location is 19005 Se 34th St, Vancouver. Patients can reach her at 360-726-6724 or can fax her at 360-726-6718. Joanne M Wallis is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1932370756.
Joanne M Wallis specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Joanne M Wallis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Joanne M Wallis |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP |
| Practice Address: | 19005 Se 34th St, Vancouver,
Washington, 98683-1450 |
| Phone: | 360-726-6724 |
| Fax: | 360-726-6718 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1932370756 |
| NPI Enumeration Date: | 19 Mar, 2008 |
| NPI Last Update On: | 17 Mar, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joanne M Wallis are as mentioned below.
| License Number | Specialization | State | Status | |
| AP30006123 | Primary Care | Washington | Primary | |
| 091000332N2-PNP-PP | Pediatrics | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Joanne M Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 022959 | Medicaid | Oregon | |
| 22959 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Joanne M Wallis
426 Sw Stark St Fl 9,
Portland, Oregon |
| Zip: | 97204-2347 |
| Phone Number: | 503-988-5958 |
| Fax Number: | 503-988-4093 |
Patients can reach Joanne M Wallis at
19005 Se 34th St, Vancouver, Washington or can
call to book an appointment on 360-726-6724.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.