1386602621 EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
Active
Basic Information
- Organization Name
- EAST SIDE ORTHOTICS & PROSTHETICS, INC.
- Enumeration Date
- May 3, 2006
- Last Update
- June 6, 2024
- Authorized Official
- BENJAMIN CLARK CPO
OWNER/ CLINICIAN
Phone: (503) 257-6623
Practice Location
- Address
- 17316 NE HALSEY ST
PORTLAND, OR 972306026 - Phone
- (503) 257-6623
- Fax
- (503) 257-6624
Mailing Address
- Address
- 17316 NE HALSEY ST
PORTLAND, OR 972306026 - Phone
- (503) 257-6623
- Fax
- (503) 257-6624
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611068100 | 01 | OR | OWCP |
| 297519 | 05 | OR | N/A |
| 9027376 | 01 | WA | WA DEPT OF SOCIAL AND HEALTH |
Frequently Asked Questions
What is EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s NPI number?
EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s NPI number is 1386602621.
Which doctor has NPI number 1386602621?
The doctor with NPI number 1386602621 is EAST SIDE ORTHOTICS & PROSTHETICS, INC..
What is EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s practice address?
EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s practice address is 17316 NE HALSEY ST, PORTLAND, OR, 972306026.
Which doctor practices at 17316 NE HALSEY ST, PORTLAND, OR, 972306026?
EAST SIDE ORTHOTICS & PROSTHETICS, INC. practices at 17316 NE HALSEY ST, PORTLAND, OR, 972306026.
What is EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s phone number?
EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s phone number is (503) 257-6623.
Who is (503) 257-6623?
(503) 257-6623 is the phone number for EAST SIDE ORTHOTICS & PROSTHETICS, INC..
What is EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s specialty?
EAST SIDE ORTHOTICS & PROSTHETICS, INC.'s specialty is Prosthetic/Orthotic Supplier.
What type of doctor is EAST SIDE ORTHOTICS & PROSTHETICS, INC.?
EAST SIDE ORTHOTICS & PROSTHETICS, INC. is a Prosthetic/Orthotic Supplier.
Is EAST SIDE ORTHOTICS & PROSTHETICS, INC. a Prosthetic/Orthotic Supplier?
Yes, EAST SIDE ORTHOTICS & PROSTHETICS, INC. is a Prosthetic/Orthotic Supplier.
Is EAST SIDE ORTHOTICS & PROSTHETICS, INC. still practicing?
Yes, EAST SIDE ORTHOTICS & PROSTHETICS, INC. is currently practicing.
Is EAST SIDE ORTHOTICS & PROSTHETICS, INC. accepting new patients?
EAST SIDE ORTHOTICS & PROSTHETICS, INC. may be accepting new patients. Please call their office at (503) 257-6623 to inquire about availability.
Is NPI 1386602621 still active?
Yes, NPI 1386602621 is currently active.
Where does EAST SIDE ORTHOTICS & PROSTHETICS, INC. practice?
EAST SIDE ORTHOTICS & PROSTHETICS, INC. practices in PORTLAND, OR.