Active NPI
Eastside Electrology of Portland
- Other Specialist/Technologist
- Portland, OR
National Provider Identifier
1235047069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Legal business name
- EASTSIDE ELECTROLOGY OF PORTLAND
- Practice address
- 1635 SE Malden St Ste B
Portland, OR 97202-6065 - Phone
- (503) 539-9953
- NPI assigned
- Sep 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tangee Holub, LE
- Title
- Owner
- Phone
- (503) 539-9953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
1635 SE Malden St Ste B
Portland, OR 97202-6065
Mailing address
1635 SE Malden St Ste B
Portland, OR 97202-6065
Phone (503) 539-9953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1235047069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 SE MALDEN ST STE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026065",
"telephone_number": "503-539-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 SE MALDEN ST STE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026065",
"telephone_number": "503-539-9953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTSIDE ELECTROLOGY OF PORTLAND",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "HOLUB",
"authorized_official_first_name": "TANGEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-539-9953",
"authorized_official_credential": "LE"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Eastmoreland Orthopedic Clinic, P.C.
- Eastmoreland Surgical Clinic
- Eastport Plaza Dental P.C.
- Eastside Counseling LLC
- Eastside Electrology
- Eastside Foot and Ankle
- Eastside Nurse Delegation
- Eastside Wellness Center, LLC (Element Wellness and Sports Rehabilitation)
- Audrey Easttum, RD, CSP, LD
- Aletha Eastwood, LMT, LPC-INTERN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.