East Side Orthotics & Prosthetics, Inc. - Portland, OR

East Side Orthotics & Prosthetics, Inc.

Prosthetic/Orthotic Supplier in Portland, Oregon

NPI 1386602621

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

The current practice location address for East Side Orthotics & Prosthetics, Inc. 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.

Location: 17316 Ne Halsey St, Portland, OR, 97230-6026

NPI Number

1386602621

Provider Name

East Side Orthotics & Prosthetics, Inc.

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

07/20/2024

Identifier	Type	State	Issuer
611068100	01	OR	OWCP
297519	05	OR
9027376	01	WA	WA DEPT OF SOCIAL AND HEALTH

Address

17316 Ne Halsey St

City

Portland

State

Oregon

Zip

97230-6026

Phone Number

503-257-6623

Fax Number

503-257-6624

Address

17316 Ne Halsey St

City

Portland

State

Oregon

Zip

97230-6026

Phone Number

503-257-6623

Fax Number

503-257-6624

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

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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