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Stephen J Wallace, MD
Orthopedic Foot and Ankle Surgery Physician in Lake Oswego, Oregon
NPI 1396162673

Stephen J Wallace is a Orthopedic Foot and Ankle Surgery Physician based in Lake Oswego, OR and is specialized in Foot and Ankle Surgery. Stephen J Wallace practices in Lake Oswego, OR and has the professional credentials of MD. The NPI Number for Stephen J Wallace is 1396162673 and holds a License No. MD60932486 (Oregon).

The current practice location address for Stephen J Wallace is 4103 Mercantile Dr, Lake Oswego, OR and can be reached out via phone at 503-850-9940 and via fax at 503-850-6709.

Location: 4103 Mercantile Dr, Lake Oswego, OR, 97035-2556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396162673
Provider Name
Stephen J Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4103 Mercantile Dr, Lake Oswego, OR, 97035-2556
Phone Number
503-850-9940
Fax Number
503-850-6709
Provider Enumeration Date
03/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396162673 05 WA
institution
Provider Business Practice Location Address Details
Address
4103 Mercantile Dr
City
Lake Oswego
State
Oregon
Zip
97035-2556
Phone Number
503-850-9940
Fax Number
503-850-6709
person
Provider Business Mailing Address Details
Address
4103 Mercantile Dr
City
Lake Oswego
State
Oregon
Zip
97035-2556
Phone Number
503-850-9940
Fax Number
503-850-6709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
MD206048 (Oregon)
Definition
An orthopedic surgeon 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. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems 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. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
MD60932486 (Washington)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic 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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Trauma
Taxonomy
207XX0801X
License No.
MD60932486 (Washington)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic trauma surgeons deal with the evaluation and management of acute orthopedic 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.
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