Stephen J Wallace Md Pc
LBN: Stephen J Wallace Md Pc
Stephen J Wallace Md Pc is an health care organization with primary practice located at 4103 Mercantile Dr , Lake Oswego OR 97035-2556. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is the primary health care specialty.
Stephen J Wallace Md Pc can be contacted via phone (503) 850-9940, or through Wallace, Stephen J via phone (270) 556-0604.
Contact Information
Primary practice address
4103 Mercantile Dr
Lake Oswego OR 97035-2556
Phone: (503) 850-9940
Fax: (503) 850-6709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X |
Profile Details
| NPI number | 1063176352 |
|---|---|
| LBN Legal business name | Stephen J Wallace Md Pc |
| DBA Doing business as | |
| Authorized official | Wallace, Stephen J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2021 |
| Last updated | Oct 24th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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