Organization · Type 2 NPI

Eastside Electrology of Portland

Other Specialist/Technologist · Portland, OR

NPI number 1235047069 Active

Practice location

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

Call (503) 539-9953 Map

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1235047069

Eastside Electrology of Portland's National Provider Identifier is 1235047069, issued on Sep 1, 2026. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Portland, OR. The record was last updated on Sep 2, 2026.