1831218767 EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Prosthetic/Orthotic Supplier

Active

Basic Information

Organization Name
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Enumeration Date
March 29, 2007
Last Update
November 1, 2023
Authorized Official
TIMOTHY L O'NEILL CPO
OWNER
Phone: (503) 407-5408

Practice Location

Address
2850 SE POWELL VALLEY RD STE 104
GRESHAM, OR 970801495
Phone
(503) 660-3180
Fax
(503) 660-3180

Mailing Address

Address
911 MAIN ST STE 100
OREGON CITY, OR 970451853
Phone
(503) 765-5081
Fax
(971) 316-1553

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
 332B00000X Durable Medical Equipment & Medical Supplies 681350 OR No
Customized Equipment (DME)
Customized Equipment
 332BC3200X Durable Medical Equipment & Medical Supplies 681350 OR No
Prosthetic/Orthotic Supplier
 335E00000X Prosthetic/Orthotic Supplier N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
278247 05 OR N/A

Additional Practice Locations

24076 SE Stark St Ste 320
Gresham, OR 970303386

Phone: (503) 242-9136

Fax: (503) 242-9139

Frequently Asked Questions

What is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's NPI number?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's NPI number is 1831218767.
Which doctor has NPI number 1831218767?
The doctor with NPI number 1831218767 is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC.
What is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's practice address?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's practice address is 2850 SE POWELL VALLEY RD STE 104, GRESHAM, OR, 970801495.
Which doctor practices at 2850 SE POWELL VALLEY RD STE 104, GRESHAM, OR, 970801495?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC practices at 2850 SE POWELL VALLEY RD STE 104, GRESHAM, OR, 970801495.
What is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's mailing address?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's mailing address is 911 MAIN ST STE 100, OREGON CITY, OR, 970451853.
What is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's phone number?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's phone number is (503) 660-3180.
Who is (503) 660-3180?
(503) 660-3180 is the phone number for EVERGREEN PROSTHETICS AND ORTHOTICS, LLC.
What is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's specialty?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC's specialty is Prosthetic/Orthotic Supplier.
What type of doctor is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC is a Prosthetic/Orthotic Supplier.
Is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC a Prosthetic/Orthotic Supplier?
Yes, EVERGREEN PROSTHETICS AND ORTHOTICS, LLC is a Prosthetic/Orthotic Supplier.
Is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC still practicing?
Yes, EVERGREEN PROSTHETICS AND ORTHOTICS, LLC is currently practicing.
Is EVERGREEN PROSTHETICS AND ORTHOTICS, LLC accepting new patients?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC may be accepting new patients. Please call their office at (503) 660-3180 to inquire about availability.
Is NPI 1831218767 still active?
Yes, NPI 1831218767 is currently active.
Where does EVERGREEN PROSTHETICS AND ORTHOTICS, LLC practice?
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC practices in GRESHAM, OR.