Evergreen Prosthetics and Orthotics, LLC
NPI #1619508702 in Meridian, Idaho
Provider Information
- NPI Number
- 1619508702
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthetics and Orthotics, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 28, 2020
- Last Updated
- Nov 22, 2023
Practice Location
Authorized Official
- Name
- TIMOTHY L O'NEILL, CPO
- Title
- PRESIDENT
- Phone
- (503) 407-5408
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