OrganizationActive
Evergreen Prosthetics and Orthotics, LLC
NPI 1922299429 · Prosthetic/Orthotic Supplier · Portland, OR
Provider details
- NPI number
- 1922299429
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Timothy O'Neill, Owner(503) 407-5408
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11782 Sw Barnes Rd
Ste 160e
Portland, OR 97225-5914
Phone: (503) 641-2020
Fax: (503) 574-3274
Street-level locationGet directions
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Registry dates
- Enumerated
- 2007-08-08
- Last updated
- 2023-11-22
- Certified
- 2023-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.