institution
East Side Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Portland, Oregon
NPI 1386602621

East Side Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Portland, OR. East Side Orthotics & Prosthetics practices in Portland, OR. The NPI Number for East Side Orthotics & Prosthetics is 1386602621 and holds a License No. (Oregon).

The current practice location address for East Side Orthotics & Prosthetics is 17316 Ne Halsey St, Portland, OR and can be reached out via phone at 503-257-6623 and via fax at 503-257-6624. You can also correspond with East Side Orthotics & Prosthetics through the mailing address at 17316 NE HALSEY ST, PORTLAND, OR - 97230-6026 (mailing address contact number: 503-257-6623).

Location: 17316 Ne Halsey St, Portland, OR, 97230-6026
institution
Provider Profile Details
NPI Number
1386602621
Provider Name
East Side Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
17316 Ne Halsey St, Portland, OR, 97230-6026
Phone Number
503-257-6623
Fax Number
503-257-6624
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611068100 01 OR OWCP
297519 05 OR
9027376 01 WA WA DEPT OF SOCIAL AND HEALTH
institution
Provider Business Practice Location Address Details
Address
17316 Ne Halsey St
City
State
Zip
97230-6026
Phone Number
503-257-6623
Fax Number
503-257-6624
person
Provider Business Mailing Address Details
Address
17316 Ne Halsey St
City
State
Zip
97230-6026
Phone Number
503-257-6623
Fax Number
503-257-6624
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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