STEPHEN J WALLACE MD PC
NPI 1063176352
Orthopaedic Surgery - Orthopaedic Trauma in Lake Oswego, OR

Q: What is Stephen J Wallace MD PC's NPI number?

The NPI number for Stephen J Wallace MD PC is 1063176352. It was assigned to this organization in the NPPES registry on October 24, 2021.

Q: What is Stephen J Wallace MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Active since October 24, 2021

4103 MERCANTILE DR, LAKE OSWEGO, OR 97035(503) 850-9940(503) 850-6709 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2026, Oct 24, 2021 (2 updates tracked since 2021).

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About Stephen J Wallace Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN J WALLACE MD PC (NPI 1063176352) is a healthcare organization registered as an orthopaedic trauma in Lake Oswego, Oregon and active in the NPI registry since October 2021. The organization lists Stephen J Wallace, Md, as its authorized official.

NPPES Registry Identity

NPI1063176352

Entity TypeOrganization

Primary Taxonomy207XX0801X

Legal Business NameSTEPHEN J WALLACE MD PC

Location Address4103 MERCANTILE DRLake Oswego, OR 97035-2556

Mailing Address4103 Mercantile DrLake Oswego, OR 97035-2556 · (503) 850-9940 · Fax (503) 850-6709

Phone(503) 850-9940

Fax(503) 850-6709

Organization SubpartNo

Authorized OfficialStephen J WallaceMd · (270) 556-0604

Enumeration DateOctober 24, 2021

Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1063176352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

4103 MERCANTILE DR, Lake Oswego, OR 97035

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS AMANDA MAGDALENA KINDER FNP-C

Nurse Practitioner (Family)