East Side Orthotics & Prosthetics in Portland - Prosthetic/orthotic Supplier
East Side Orthotics & Prosthetics - NPI 1386602621
East Side Orthotics & Prosthetics is a Prosthetic/orthotic Supplier in Portland, Oregon. East Side Orthotics & Prosthetics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for East Side Orthotics & Prosthetics is 1386602621. The last update date is 2023-12-06.
East Side Orthotics & Prosthetics's current location address is 17316 Ne Halsey St, Portland, Oregon. You can contact this provider via phone number 5032576623 and fax number 5032576624. The mailing address for East Side Orthotics & Prosthetics is 17316 Ne Halsey St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Side Orthotics & Prosthetics |
|---|---|
| Address | 17316 Ne Halsey St, Portland, Oregon |
| Phone Number | 5032576623 |
| Fax Number | 5032576624 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ CLI |
|---|---|
| Authorized Official Name | Clark Benjamin |
| Credentials | CPO |
| Telephone Number | 5032576623 |
NPI Number Detail
| NPI Number | 1386602621 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 17316 Ne Halsey St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972306026 |
| Phone Number | 5032576623 |
| Fax Number | 5032576624 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 611068100 | OR | OWCP | |
| 297519 | OR | -- | |
| 9027376 | WA | WA DEPT OF SOCIAL AND HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to East Side Orthotics & Prosthetics by the Centers for Medicare & Medicaid Services?
The East Side Orthotics & Prosthetics has been assigned the NPI (National Provider Identifier) 1386602621. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of East Side Orthotics & Prosthetics?
The East Side Orthotics & Prosthetics is situated at 17316 Ne Halsey St, in the city of Portland, state of OR, with the zip code 972306026.
What is the East Side Orthotics & Prosthetics's area of specialization and corresponding taxonomy classification?
The East Side Orthotics & Prosthetics's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did East Side Orthotics & Prosthetics receive its 1386602621 assignment from the Centers for Medicare & Medicaid Services?
The East Side Orthotics & Prosthetics was assigned its 1386602621 on 2006-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to East Side Orthotics & Prosthetics, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to East Side Orthotics & Prosthetics, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-12-06.