Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN J WALLACE, MD
ActiveSTEPHEN J WALLACE, MD is a Orthopaedic Trauma healthcare provider located in LAKE OSWEGO, Oregon. NPI 1396162673 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Trauma · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1396162673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2014 (12.402481668195 yrs)
- Last Updated
- Jan 8, 2026
- Licenses
-
MD60932486 (WA)MD206048 (OR)MD206048 (OR)MD60932486 (WA)
Practice Information
- Address
-
4103 MERCANTILE DRLAKE OSWEGO, OR, 970352556Browse OR providers · Browse ZIP 97035
- Phone
- 5038509940
- Fax
- 5038506709
- Primary Specialty
-
Orthopaedic Trauma
207XX0801X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Trauma
- Additional Specialty
- Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.