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Contact Information

EAST SIDE ORTHOTICS & PROSTHETICS, INC.
2420 GREAR ST NE STE 2
SALEM, OR97301-2766
 Phone: 503-257-6623
 Fax: 503-257-6624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for EAST SIDE ORTHOTICS & PROSTHETICS, INC.

NPI # 1487509527
LBN Legal business name EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Authorized official IVAN SABEL - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/03/2026
Last updated 05/12/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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