Evergreen Prosthetics and Orthotics, LLC

NPI #1003287269 in Portland, Oregon

Provider Information

NPI Number
1003287269
Entity Type
Organization
Organization Name
Evergreen Prosthetics and Orthotics, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Oct 14, 2015
Last Updated
Nov 1, 2023

Practice Location

Address
501 N GRAHAM ST
Address 2
STE 255
State
Oregon
ZIP Code
97227-1654
Phone
(503) 288-9929

Authorized Official

Name
TIM O'NEILL
Title
PRESIDENT
Phone
(503) 641-2020

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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