Organization
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Active
Organization
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(503) 257-6623
Entity
Organization
Contact information
Practice address
17316 NE HALSEY ST, PORTLAND, OR 97230-6026
(503) 257-6623
(503) 257-6624
Mailing address
17316 NE HALSEY ST, PORTLAND, OR 97230-6026
(503) 257-6623
(503) 257-6624
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297519
—
OR
01
—
611068100
OWCP
OR
01
—
9027376
WA DEPT OF SOCIAL AND HEALTH
WA
Enumeration date
05/03/2006
Last updated
05/12/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up