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Organization
EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC
Active
Organization
EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D RUESCH MD (MD/ PHYSICIAN)
(503) 659-1964
Entity
Organization
Contact information
Practice address
10121 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5755
(503) 659-1769
(503) 659-7522
Mailing address
10121 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5755
(503) 659-1769
(503) 659-7522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD183085
OR
Other
Enumeration date
06/06/2017
Last updated
06/30/2026
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