OrganizationActive
Evergreen Prosthetics and Orthotics, LLC
NPI 1255723391 · Prosthetic/Orthotic Supplier · Spokane Valley, WA
Provider details
- NPI number
- 1255723391
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Evergreen Prosthetics & Orthotics, LLC
- Authorized official
- Timothy O'Neill, Owner
Practice location
1424 N Mcdonald Rd
Suite 201
Spokane Valley, WA 99216-6017
Phone: (509) 926-1403
Fax: (509) 926-1404
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Registry dates
- Enumerated
- 2015-02-26
- Last updated
- 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.