STEPHEN J WALLACE

LAKE OSWEGO, OR
NPI1396162673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: OR  MD206048)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: WA  MD60932486)
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: WA  MD60932486)
Enumeration Date2014-03-24
Last Update Date2021-10-24
Business Address
STEPHEN J WALLACE MD
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035-2556
Phone number: 503-850-9940
Mailing Address
STEPHEN J WALLACE MD
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035-2556
Phone number: 503-850-9940