Evergreen Prosthetics And Orthotics, Llc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
2850 Se Powell Valley Rd Ste 104, Gresham
Oregon, 97080-1495

 503-660-3180     503-660-3180Maps & Directions
Evergreen Prosthetics And Orthotics, Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Gresham, Oregon. It is situated at 2850 Se Powell Valley Rd Ste 104, Gresham and its contact number is 503-660-3180. The authorized person of Evergreen Prosthetics And Orthotics, Llc is Timothy L O'neill who is Owner of the store and his/her contact number is 503-407-5408.
Evergreen Prosthetics And Orthotics, Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Evergreen Prosthetics And Orthotics, Llc Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:2850 Se Powell Valley Rd Ste 104, Gresham,
Oregon, 97080-1495
Phone:503-660-3180
Fax:503-660-3180
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Timothy L O'neill
Position: Owner
Contact Number: 503-407-5408
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Evergreen Prosthetics And Orthotics, Llc center are as mentioned below.
NPI Number: 1831218767
NPI Enumeration Date: 29 Mar, 2007
NPI Last Update On: 01 Aug, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Prosthetics And Orthotics, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
681350OregonSecondary
681350OregonSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
278247MedicaidOregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Evergreen Prosthetics And Orthotics, Llc
8880 Sw Nimbus Ave Ste A,
Beaverton, Oregon
Zip: 97008-7111
Phone Number: 877-971-7272
Fax Number: 971-727-3162
Patients can reach Evergreen Prosthetics And Orthotics, Llc at 2850 Se Powell Valley Rd Ste 104, Gresham, Oregon or can call to book an appointment on 503-660-3180. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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