OrganizationActive
Evergreen Prosthetics and Orthotics, LLC
NPI 1407212939 · Prosthetic/Orthotic Supplier · Tillamook, OR
Provider details
- NPI number
- 1407212939
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- Timothy O'Neill, Owner
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Registry dates
- Enumerated
- 2016-01-13
- 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.