Eastside Orthopedics & Sports Medicine, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC

Practice address

10121 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5755

Phone

(503) 659-1769

Fax

(503) 659-7522

NPI assigned

Jun 6, 2017

Last updated

Jun 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul D Ruesch, MDNPI 1558393876

Title

MD/ Physician

Phone

(503) 659-1964

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Col Northwest LLC

  dba Clearview MRI Mt Scott

  • Physiological Laboratory
  • Happy Valley, OR
  • NPI 1023065307

  Member Of

  NPD member

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul D Ruesch, M.D.

  • Orthopaedic Surgery Physician
  • Clackamas, OR
  • NPI 1558393876
  Medicare reassignment Care Compare group NPD Authorized official
• Bret T Kean, MD

  • Orthopaedic Surgery Physician
  • Clackamas, OR
  • NPI 1871797654
  Medicare reassignment Care Compare group NPD
• Connor Martin Pihl, MD

  • Orthopaedic Surgery Physician
  • Clackamas, OR
  • NPI 1891292264
  Medicare reassignment Care Compare group NPD
• Nicholas Michael McHugh, PA-C

  • Physician Assistant
  • Clackamas, OR
  • NPI 1558842773
  Medicare reassignment Care Compare group
• Ansab Khwaja, MD PC

  • Orthopaedic Surgery Physician
  • Longview, WA
  • NPI 1366896797

  OR

  Medicare reassignment NPD
• Akash Gupta, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Issaquah, WA
  • NPI 1093014771

  OR

  Medicare reassignment
• Serena Esmee Blythe Liu, MD

  • Orthopaedic Surgery Physician
  • Clackamas, OR
  • NPI 1629572284
  NPD
• Valerie J Nipper, PA-C

  • Physician Assistant
  • Clackamas, OR
  • NPI 1508973330
  NPD
• Geoffrey E Baum, D.O.

  • Orthopaedic Surgery Physician
  • Milwaukie, OR
  • NPI 1720196066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1225567928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155755",
            "telephone_number": "503-659-1769",
            "fax_number": "503-659-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155755",
            "telephone_number": "503-659-1769",
            "fax_number": "503-659-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "RUESCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD/ PHYSICIAN",
        "authorized_official_telephone_number": "503-659-1964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OR",
            "license": "MD183085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin M. Davis, DDS, LLC (Sunnyside Dentistry for Children)
• Rochelle Marie Duvall
• Marianne Dwyer, MD
• Kristina Marie Dwyhalo, MSPA
• Eastmoreland Ear, Nose & Throat, Clinic, LLP (Mt. Scott Ear, Nose and Throat)
• Colin Eaton
• Lois Margaret Eaton, FNP
• Suzanne Eberhart
• Stephen Joseph Ebner, M.D.
• Karen Edgerton

• Orthopaedic Surgery Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.