OrganizationActive
Evergreen Prosthetics and Orthotics, LLC
NPI 1063184141 · Prosthetic/Orthotic Supplier · Vancouver, WA
Provider details
- NPI number
- 1063184141
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Tim O'Neill, President(503) 407-5408
Specialties & taxonomies
Suppliers
Practice location
2121 Ne 139th St
Bldg 1 Ste 225
Vancouver, WA 98686-2316
Phone: (503) 765-5081
Approximate (ZIP-level) locationGet directions
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.