Search › Oregon › 207XX0801X
Stephen Wallace, MD
NPI 1396162673 · on the registry since 2014
Practice
- Address
- 4103 Mercantile Dr
Lake Oswego, OR 97035 - Phone
- (503) 850-9940
- Fax
- (503) 850-6709
- Organisation at this address
- Amer J Mirza, Md Pc
Craig T Gillis Do Pc
Steven M Madey Md Pc
Britton A Frome Md Pc
Stephen J Wallace Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 325 9th Ave, Seattle, WA
- 2160 S 1st Ave, Maywood, IL
- 535 E 70th St, New York, NY
Registry record
- Primary taxonomy
- 207XX0801X
207XX0801X
- Also registered as
- 207XX0801X
207X00000X
207X00000X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon