East Side Orthotics & Prosthetics

NPI 1386602621 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1386602621
Enumeration Date 05/03/2006
Last Updated 05/30/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFERY W. JEFFERY
Position PRESIDENT
Phone (503) 257-6623
Fax (503) 257-6624
Practice Location
17316 NE HALSEY ST
PORTLAND OR, 97230-6026, US
Phone (503) 257-6623
Fax (503) 257-6624
Business Location
17316 NE HALSEY ST
PORTLAND OR, 97230-6026, US
Phone (503) 257-6623
Fax (503) 257-6624
Toxanomy
Taxonomy Code 335E00000X
License State Oregon
License Number NONE
Remove 1386602621 NPI Number
 

According to our database, East Side Orthotics & Prosthetics NPI is 1386602621, taxonomy code is 335E00000X and license number is NONE, license state is located at Oregon. East Side Orthotics & Prosthetics physically located at 17316 Ne Halsey St, Portland OR, 97230-6026. NPI Number 1033115704 has the healthcare provider type.

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1386602621 NPI number is provided on an as is basis without warranty of any kind. 1386602621 is maintained by the National Plan & Provider Enumeration System. The contents of East Side Orthotics & Prosthetics are for informational purposes only.