Evergreen Prosthetics and Orthotics, LLC
NPI #1578150454 in Fruitland, Idaho
Provider Information
- NPI Number
- 1578150454
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthetics and Orthotics, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 28, 2020
- Last Updated
- Nov 1, 2023
Practice Location
Authorized Official
- Name
- TIMOTHY L O'NEILL, CPO
- Title
- PRESIDENT
- Phone
- (503) 407-5408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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