Stephen J Wallace
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Foot and Ankle Orthopaedic Surgeon
4103 Mercantile Dr
Lake Oswego
, Oregon 97035-2556
Stephen J Wallace
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Foot and Ankle Orthopaedic Surgeon
4103 Mercantile Dr
Lake Oswego
, Oregon 97035-2556
(503) 850-6709
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About
Features
Specialties
- Orthopaedic Surgeon
- Foot and Ankle Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Stephen J Wallace
- 4103 Mercantile Dr
- Lake Oswego, OR
- Zip : 97035-2556
- Fax : (503) 850-6709
- Phone : (503) 850-9940
Second Address
- Stephen J Wallace
- 4103 Mercantile Dr
- Lake Oswego, OR
- Zip : 97035-2556
- Fax : (503) 850-6709
- Phone : (503) 850-9940
Reviews
FAQs
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What type of doctor is Stephen J Wallace
In what state does Stephen J Wallace practice in?
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What is Stephen J Wallace ’s gender?
Is Stephen J Wallace a sole practitioner?
Is Stephen J Wallace accepting new patients?
What languages does Stephen J Wallace speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | MD60932486 | WA |
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD206048 | OR |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | MD60932486 | WA |
National Provider Identifier
| NPI | 1396162673 |
|---|---|
| Provider Name | Stephen J Wallace |
| First Address | Lake Oswego, OR 97035-2556 |
| Second Address | Lake Oswego, OR 97035-2556 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2014 |
| Last Update Date | 24/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1396162673 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.