Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114325222 Individual Practitioner Female Practitioner

Sally Marie Waddle , PA-C

Physician Assistant • Vancouver, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sally Waddle, PA-C is a certified Physician Assistant practicing in Vancouver, WA. With approximately 11 years of clinical experience since completing medical education in 2015, Sally Waddle delivers high-quality medical care to the local community at 12607 SE MILL PLAIN BLVD.

Sally Waddle is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12607 Se Mill Plain Blvd

Vancouver, WA 986846055

Telephone 3604186001
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -2.1 yrs vs City Avg
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waddle (11 Years) 11 Yrs
Vancouver Specialty Average (13.1 Years) 13.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60601345

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

3600 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3620 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

7101 Ne 137th Ave, Vancouver, WA 986824933

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Imogen Kane

Student in an Organized Health Care Education/Training Program

NPI 1003583469
NPI 1003922279

Doctor of Medicine (M.D.)

Margaret Stulbarg , MSSW

Counselor - Mental Health

NPI 1053427278
NPI 1063669539

Doctor of Medicine (M.D.)

Margaret De La Vergne

Nurse Practitioner - Pediatrics

NPI 1073190005
Joseph Kann , PA-C

Physician Assistant - Medical

NPI 1093807513

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2015

Registered at 12607 SE MILL PLAIN BLVD, VANCOUVER, WA 986846055 (Tel: 3604186001)

📍
Updated Business Mailing Address October 01, 2015

Registered at 12607 SE MILL PLAIN BLVD, VANCOUVER, WA 986846055 (Tel: 3604186001)

👤
Provider Name / Credentials Updated October 01, 2015

Recorded as SALLY WADDLE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2015

Physician Assistant (License #PA60601345 in WA)

🟢
Initial NPI Registration & Enumeration December 06, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114325222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2014
Last Update: December 21, 2021
Sole Proprietor: No

Mailing Address

12607 Se Mill Plain Blvd

Vancouver, WA 986846055

Phone: 3604186001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.