NPI 1003287269

Evergreen Prosthetics and Orthotics, LLC

Organisation Prosthetic/Orthotic Supplier Portland, OR

Practice location

Address: 501 N Graham St STE 255, Portland, OR 97227-1654
Phone: (503) 288-9929
Fax: (503) 288-5904
Mailing address: 911 Main St STE 100, Oregon City, OR 97045-1853

Authorised official

Name: Tim O'Neill
Title: President
Phone: (503) 641-2020

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Oregon →

Registry record

NPI: 1003287269
Entity type: Organization
NPI issued: 14 Oct 2015
Record last updated: 1 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.