Stephen J Wallace
MD | Orthopedic Surgery | 11+ years Exp
Medicare Enrolled 4103 Mercantile Dr, Lake Oswego
Oregon, 97035-2556
503-850-9940 503-850-6709
Maps & DirectionsStephen J Wallace is a Lake Oswego, Oregon based orthopedic surgeon with 11 years of experience in Orthopedic Surgery. He completed his graduation from Baylor College Of Medicine in 2014. He is also affiliated with hospitals like Legacy Emanuel Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephen J Wallace is MD206048 for Foot and Ankle Surgery in Oregon.
Stephen J Wallace is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Stephen J Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | MD |
| Experience: | 11+ years |
| Medical School Attended: | Baylor College Of Medicine |
| Graduation Year: | 2014 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4103 Mercantile Dr, Lake Oswego, Oregon, 97035-2556 |
| Phone: | 503-850-9940 |
| Fax: | 503-850-6709 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9931402864 |
| Enrollment ID: | I20211122002255 |
| NPI Number: | 1396162673 |
| NPI Enumeration Date: | 24 Mar, 2014 |
| NPI Last Update On: | 24 Oct, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen J Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| MD206048 | Foot and Ankle Surgery | Oregon | Primary | |
| MD60932486 | Orthopedic Surgery | Washington | Secondary | |
| MD60932486 | Orthopaedic Trauma | Washington | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Legacy Emanuel Medical Center (380007) | Portland, OR | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephen J Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1396162673 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4103 Mercantile Dr, Lake Oswego, Oregon |
| Zip: | 97035-2556 |
| Phone Number: | 503-850-9940 |
| Fax Number: | 503-850-6709 |
Patients can reach Stephen J Wallace at
4103 Mercantile Dr, Lake Oswego, Oregon or can
call to book an appointment on 503-850-9940.
Comments/ Reviews:
Patients can read all the reviews posted for Stephen J Wallace below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Stephen J Wallace. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.