NPI 1831218767

Evergreen Prosthetics and Orthotics, LLC

Organisation Prosthetic/Orthotic Supplier Gresham, OR

Practice location

Address: 2850 SE Powell Valley Rd STE 104, Gresham, OR 97080-1495
Phone: (503) 660-3180
Fax: (503) 660-3180
Mailing address: 911 Main St STE 100, Oregon City, OR 97045-1853

Authorised official

Name: Timothy L O'Neill
Title: Owner
Phone: (503) 407-5408

Registered specialties (3)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 681350 (OR)

Other Durable Medical Equipment & Medical Supplies providers in Oregon →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X Licence 681350 (OR)

Registry record

NPI: 1831218767
Entity type: Organization
NPI issued: 29 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.