# EASTSIDE ELECTROLOGY OF PORTLAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235047069
- **Authorized official:** TANGEE HOLUB LE (OWNER)
- **Authorized official phone:** (503) 539-9953

## Contact information

- **Practice address:** 1635 SE MALDEN ST STE B, PORTLAND, OR 97202-6065
- **Practice address phone:** (503) 539-9953
- **Mailing address:** 1635 SE MALDEN ST STE B, PORTLAND, OR 97202-6065
- **Mailing address phone:** (503) 539-9953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2026
- **Last updated:** 09/02/2026