Organization
EASTSIDE ELECTROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANGEE HOLUB L.E, C.P.E. (OWNER)
(503) 539-9953
Entity
Organization
Contact information
Practice address
1635 SE MALDEN ST STE B, PORTLAND, OR 97202-6065
(503) 593-2141
Mailing address
1635 SE MALDEN ST STE B, PORTLAND, OR 97202-6065
(503) 593-2141
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/09/2025
Last updated
08/11/2025
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