NPI 1619096005

Evergreen Prosthetics and Orthotics, LLC

Organisation Prosthetic/Orthotic Supplier Vancouver, WA

Practice location

Address: 8614 E Mill Plain Blvd STE 110, Vancouver, WA 98664-2058
Phone: (360) 213-2088
Fax: (360) 213-0311
Mailing address: 911 Main St STE 100, Oregon City, OR 97045-1853

Authorised official

Name: Timothy L O'Neill
Title: Owner
Phone: (503) 704-5408

Registered specialties (3)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Washington →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 602608675 (WA)

Other Durable Medical Equipment & Medical Supplies providers in Washington →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X Licence 602608675 (WA)

Registry record

NPI: 1619096005
Entity type: Organization
NPI issued: 28 Mar 2007
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.