Individual
MRS. ALISHA ASHURST WALLACE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034-3032
(425) 899-6400
Mailing address
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034-3032
(425) 899-6400
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61642884
WA
Other
Enumeration date
02/10/2006
Last updated
10/22/2025
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