STEPHEN WALLACE, MD
Orthopaedic Surgery - Orthopaedic Trauma
Active
Individual
NPI: 1396162673
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthopaedic Surgery - Orthopaedic Trauma | 207XX0801X | Yes | MD206048 (OR) |
| Orthopaedic Surgery | 207X00000X | No | MD60932486 (WA) |
Frequently Asked Questions
NPI 1396162673 is the National Provider Identifier for STEPHEN WALLACE, MD, a Orthopaedic Surgery - Orthopaedic Trauma provider located in Lake Oswego, OR. This NPI was enumerated on March 24, 2014.
STEPHEN WALLACE, MD practices at 4103 MERCANTILE DR, Lake Oswego, OR 97035.
Quick Facts
- NPI
- 1396162673
- Type
- Individual
- Enumerated
- Mar 24, 2014
- Last Updated
- Jan 8, 2026
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