Evergreen Prosthetics and Orthotics, LLC
NPI #1255723391 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1255723391
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthetics and Orthotics, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERGREEN PROSTHETICS & ORTHOTICS, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 26, 2015
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 1424 N MCDONALD RD
- Address 2
- SUITE 201
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-6017
- Phone
- (509) 926-1403
Authorized Official
- Name
- MS. TIMOTHY L O'NEILL
- Title
- OWNER
- Phone
- (503) 407-5408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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