East Side Orthotics & Prosthetics, Inc. is a Prosthetic & Orthotic Supplier in Portland, Oregon. It is situated at 17316 Ne Halsey St, Portland and its contact number is 503-257-6623. The authorized person of East Side Orthotics & Prosthetics, Inc. is Benjamin Clark
who is Owner/ Clinician of the store and his/her contact number is 503-257-6623. East Side Orthotics & Prosthetics, Inc. is 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.
Complete Center Profile:
East Side Orthotics & Prosthetics, Inc. Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization:
Prosthetic & Orthotic Supplier
Address:
17316 Ne Halsey St, Portland, Oregon, 97230-6026
Phone:
503-257-6623
Fax:
503-257-6624
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Benjamin Clark
Position:
Owner/ Clinician
Contact Number:
503-257-6623
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for East Side Orthotics & Prosthetics, Inc. center are as mentioned below.
NPI Number:
1386602621
NPI Enumeration Date:
03 May, 2006
NPI Last Update On:
06 Jun, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Side Orthotics & Prosthetics, Inc. are as mentioned below.
Specialization
License Number
State
Status
Prosthetic/orthotic Supplier
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
611068100
Other
Oregon
Owcp
297519
Medicaid
Oregon
9027376
Other
Washington
Wa Dept Of Social And Health
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
East Side Orthotics & Prosthetics, Inc. 17316 Ne Halsey St, Portland, Oregon
Zip:
97230-6026
Phone Number:
503-257-6623
Fax Number:
503-257-6624
Patients can reach East Side Orthotics & Prosthetics, Inc. at 17316 Ne Halsey St, Portland, Oregon or can call to book an appointment on 503-257-6623. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.