NPI 1386599421
East Side Orthotics & Prosthetics, INC.
Practice location
- Address
- 19767 SW 72nd Ave STE 102, Tualatin, OR 97062-8354
- Phone
- (503) 257-6623
- Fax
- (503) 257-6624
- Mailing address
- 17316 NE Halsey St, Portland, OR 97230-6026
Authorised official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (503) 257-6623
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1386599421
- Entity type
- Organization
- NPI issued
- 3 Mar 2026
- Record last updated
- 12 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.