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1386602621
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
PORTLAND, OR
NPI
1386602621
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Entity Type
Organization
Authorized Contact
BENJAMIN CLARK
Owner/ Clinician
503-257-6623
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2006-05-03
Last Update Date
2024-06-06
Business Address
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone number: 503-257-6623
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Mailing Address
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone number: 503-257-6623
Copy
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