OrganizationActive
Evergreen Prosthetics and Orthotics, LLC
NPI 1659813657 · Prosthetic/Orthotic Supplier · Longview, WA
Provider details
- NPI number
- 1659813657
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Timothy O'Neill, Owner(503) 407-5408
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1052 Douglas St
Longview, WA 98632-2102
Phone: (360) 232-8525
Fax: (360) 232-8633
Approximate (ZIP-level) locationGet directions
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Additional practice locations (1)
- 1555 3rd Ave Ste BLongview, WA 98632-3268Phone: (360) 232-8525Fax: (360) 232-8633
Registry dates
- Enumerated
- 2016-11-08
- 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.