Eastside Electrology

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

EASTSIDE ELECTROLOGY

Practice address

1635 SE Malden St Ste B
Portland, OR 97202-6065

Phone

(503) 593-2141

NPI assigned

Aug 9, 2025

Organization subpart

No

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

Authorized official

Name

Tangee Holub, L.E, C.P.E.

Title

Owner

Phone

(503) 539-9953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1427933381",
    "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": "503-593-2141"
        },
        {
            "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": "503-593-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE ELECTROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "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": "L.E, C.P.E."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audrey Easttum, RD, CSP, LD

• Other Specialist/Technologist in Portland, OR
• Providers in Portland, OR by specialty
• Other Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.