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 17316 Ne Halsey St , Portland OR 97230-6026. 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) 257-6623, or through Clark, Benjamin via phone (503) 257-6623.

Contact Information

Primary practice address
17316 Ne Halsey St Portland OR 97230-6026
Phone: (503) 257-6623
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 1386602621
LBN Legal business name East Side Orthotics & Prosthetics, Inc.
DBA Doing business as
Authorized official Clark, Benjamin CPO
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jun 6th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386602621 NPPES
Oregon Other 611068100 OWCP
Oregon MEDICAID 297519 OWCP
Oregon Other 9027376 OWCP

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