Organization
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Active
Organization
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Active
Parent organization
EASTSIDE ORTHOTICS & PROSTHETICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTSIDE ORTHOTICS & PROSTHETICS, INC.
Authorized official
IVAN SABEL (CEO)
(503) 257-6623
Entity
Organization
Contact information
Practice address
91 MADISON ST, EUGENE, OR 97402-5013
(503) 970-8388
(503) 257-6624
Mailing address
91 MADISON ST, EUGENE, OR 97402-5013
(503) 970-8388
(503) 257-6624
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500778749
—
OR
Enumeration date
11/12/2019
Last updated
05/12/2026
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