East Side Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST SIDE ORTHOTICS & PROSTHETICS, INC.

Practice address

2420 Grear St NE Ste 2
Salem, OR 97301-2766

Phone

(503) 257-6623

Fax

(503) 257-6624

NPI assigned

Mar 3, 2026

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST SIDE ORTHOTICS & PROSTHETICS, INC.As reported in NPPES

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(503) 257-6623

Specialties & licenses 1

Addresses

Tax ID family

East Side Orthotics Prosthetics Inc4 organizations share this tax ID, including this one

Part of

East Side Orthotics Prosthetics Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• East Side Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Eugene, OR
  • NPI 1093350266
  NPD tax ID
• East Side Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Tualatin, OR
  • NPI 1386599421
  NPD tax ID
• East Side Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Portland, OR
  • NPI 1386602621
  NPD tax ID

Locations

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1487509527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306026",
            "telephone_number": "503-257-6623",
            "fax_number": "503-257-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 GREAR ST NE STE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012766",
            "telephone_number": "503-257-6623",
            "fax_number": "503-257-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST SIDE ORTHOTICS & PROSTHETICS, INC.",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-257-6623"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Salem, OR
• Providers in Salem, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.