EAST SIDE ORTHOTICS & PROSTHETICS, INC. – NPI #1386599421
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

EAST SIDE ORTHOTICS & PROSTHETICS, INC. is a DME Supplier located in TUALATIN, OR. NPPES has assigned the NPI number 1386599421 to EAST SIDE ORTHOTICS & PROSTHETICS, INC. on March 03, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was last updated on May 12, 2026. 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 EAST SIDE ORTHOTICS & PROSTHETICS, INC. below.

NPI Profile for
EAST SIDE ORTHOTICS & PROSTHETICS, INC.

NPI Number
1386599421
Enumeration Date

(about 3 months 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
EAST SIDE ORTHOTICS & PROSTHETICS, INC.
Primary location
19767 SW 72ND AVE STE 102
TUALATIN, OR 97062-8354
Phone: (503) 257-6623 Fax: (503) 257-6624
Mailing address
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone: (503) 257-6623 Fax: (503) 257-6624
Organization Subpart
No
Authorized Official
IVAN SABEL
CEO
Phone: (503) 257-6623
Updated
Certification Date
May 12, 2026

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
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

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.