Evergreen Prosthetics and Orthotics, LLC
NPI #1659813657 in Longview, Washington
Provider Information
- NPI Number
- 1659813657
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthetics and Orthotics, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 8, 2016
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 1052 DOUGLAS ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2102
- Phone
- (360) 232-8525
Authorized Official
- Name
- TIMOTHY L O'NEILL, CPO
- Title
- OWNER
- Phone
- (503) 407-5408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
Additional Practice Locations
1555 3rd Ave Ste B
Longview, WA, 98632-3268
(360) 232-8525
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