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Organization

EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA ROBERTS (PRACTICE MANAGER)
(503) 659-1715
Entity
Organization

Contact information

Practice address
6542 SE LAKE RD STE 201, MILWAUKIE, OR 97222-2245
(503) 659-1769
(503) 659-7522
Mailing address
6542 SE LAKE RD STE 201, MILWAUKIE, OR 97222-2245
(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
02/11/2025
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