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

Stephen J Wallace, MD

Individual provider Orthopaedic Trauma Physician · NPI 1396162673

Stephen J Wallace, MD is an Orthopedic Surgery in Lake Oswego, Oregon. Graduated from Baylor College of Medicine in 2014, 12 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
12
Trained at
Baylor College of Medicine
Licensed in
OR, WA
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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.

Additional practice locations (3)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-3280
  • 535 E 70th St, New York, NY 10021-4823 — (212) 606-1000
  • 325 9th Ave, Seattle, WA 98104 — (206) 520-5000

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence MD206048 (OR)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence MD60932486 (WA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD206048 (OR)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD60932486 (WA)

Record details

NPI number1396162673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2014
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address4103 Mercantile Dr, Lake Oswego, OR 97035-2556

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Oswego