Organization Active NPI

Eastside Electrology of Portland

  • Other Specialist/Technologist
  • Portland, OR
National Provider Identifier
1235047069
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
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

Updated by the provider on Sep 2, 2026

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)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

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.

Verify at the official NPI Registry.