NPI 1063184141

Evergreen Prosthetics and Orthotics, LLC

Organisation Prosthetic/Orthotic Supplier Vancouver, WA

Practice location

Address: 2121 NE 139th St Bldg 1 STE 225, Vancouver, WA 98686-2316
Phone: (503) 765-5081
Mailing address: 911 Main St STE 100, Oregon City, OR 97045-1853

Authorised official

Name: Tim O'Neill
Title: President
Phone: (503) 407-5408

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1063184141
Entity type: Organization
NPI issued: 28 Sep 2021
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.