Evergreen Prosthetics and Orthotics, LLC
NPI #1811269129 in Oregon City, Oregon
Provider Information
- NPI Number
- 1811269129
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthetics and Orthotics, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 1, 2012
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 911 MAIN ST STE 120
- City
- Oregon City
- State
- Oregon
- ZIP Code
- 97045-1867
- Phone
- (503) 212-3388
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 |
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