Evergreen Prosthetics and Orthotics, LLC

NPI #1407212939 in Tillamook, Oregon

Provider Information

NPI Number
1407212939
Entity Type
Organization
Organization Name
Evergreen Prosthetics and Orthotics, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jan 13, 2016
Last Updated
Nov 1, 2023

Practice Location

Address
210 IVY AVE
Address 2
SUITE E
State
Oregon
ZIP Code
97141-2216
Phone
(503) 354-5500

Authorized Official

Name
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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