East Side Orthotics & Prosthetics, Inc.

LBN: East Side Orthotics & Prosthetics, Inc.
East Side Orthotics & Prosthetics, Inc. is an health care organization with primary practice located at 91 Madison St , Eugene OR 97402-5013. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. East Side Orthotics & Prosthetics, Inc. can be contacted via phone (503) 970-8388, or through Clark, Benjamin via phone (503) 257-6623.

Contact Information

Primary practice address
91 Madison St Eugene OR 97402-5013
Phone: (503) 970-8388
Fax: (503) 257-6624
Website:
Map and Directions
Authorized official contact:
Name: Clark, Benjamin CPO
Phone: (503) 257-6623

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1093350266
LBN Legal business name East Side Orthotics & Prosthetics, Inc.
DBA Doing business as
Authorized official Clark, Benjamin CPO
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 12th, 2019
Last updated Dec 6th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1093350266 NPPES
Oregon MEDICAID 500778749

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