Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephen J Wallace MD PC

Organization Orthopaedic Surgery Physician · NPI 1063176352

Stephen J Wallace MD PC is an Orthopaedic Surgery Physician in Lake Oswego, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone: (503) 850-9940
Fax: (503) 850-6709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1063176352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Wallace — Md · (270) 556-0604
NPI enumeratedOctober 24, 2021
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address4103 Mercantile Dr, Lake Oswego, OR 97035-2556

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