OrganizationActive
Stephen J Wallace MD PC
NPI 1063176352 · Orthopaedic Trauma Physician · Lake Oswego, OR
Provider details
- NPI number
- 1063176352
- Entity type
- Organization
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Wallace, MD(270) 556-0604
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone: (503) 850-9940
Fax: (503) 850-6709
Street-level locationGet directions
Mailing address
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Registry dates
- Enumerated
- 2021-10-24
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.