Stephen J Wallace, MD is a foot and ankle surgery orthopaedic surgery in Lake Oswego, OR with 10 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Stephen J Wallace, MD NPI is 1396162673. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2014
The provider's business location address is:
4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035-556
Phone: (503) 850-9940
Fax: (503) 850-6709
The NPI 1396162673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/24/2014 and was last updated on 10/24/2021.