East Side Orthotics & Prosthetics

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
17316 Ne Halsey St, Portland
Oregon, 97230-6026

 503-257-6623     503-257-6624Maps & Directions
East Side Orthotics & Prosthetics is a Prosthetic & Orthotic Supplier (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 is Benjamin Clark who is President of the store and his/her contact number is 503-257-6623.
East Side Orthotics & Prosthetics 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 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, 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: President
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 center are as mentioned below.
NPI Number: 1386602621
NPI Enumeration Date: 03 May, 2006
NPI Last Update On: 02 Sep, 2021

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 are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
9027376OtherWashingtonWa Dept Of Social And Health
297519MedicaidOregon
611068100OtherOregonOwcp
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
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 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 11 March, 2024.

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