OrganizationActive
Evergreen Prosthetics and Orthotics, LLC
NPI 1811269129 · Prosthetic/Orthotic Supplier · Oregon City, OR
Provider details
- NPI number
- 1811269129
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- Timothy O'Neill, Owner
Practice location
911 Main St Ste 120
Oregon City, OR 97045-1867
Phone: (503) 212-3388
Fax: (503) 212-3386
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Registry dates
- Enumerated
- 2012-02-01
- 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.