EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC – NPI #1225567928
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC is an orthopaedic surgeon located in MILWAUKIE, OR. NPPES has assigned the NPI number 1225567928 to EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC on June 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was last updated on Feb 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC below.

NPI Profile for
EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC

NPI Number
1225567928
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC
Primary location
6542 SE LAKE RD STE 201
MILWAUKIE, OR 97222-2245
Phone: (503) 659-1769 Fax: (503) 659-7522
1 Other location(s):
24900 SE Stark St Ste 208
Gresham, OR 97030-3382
Phone: (503) 659-1769
Fax: (503) 659-7522
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANGELA ROBERTS
PRACTICE MANAGER
Phone: (503) 659-1715
Updated
Certification Date
Feb 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
207XX0004X
- Orthopaedic Surgery / Foot and Ankle Surgery
OR MD183085

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.