Evergreen Prosthetics And Orthotics, Llc is a Durable Medical Equipment & Medical Supplies in Vancouver, Washington. It is situated at 8614 E Mill Plain Blvd Ste 110, Vancouver and its contact number is 360-213-2088. 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 503-704-5408. Evergreen Prosthetics And Orthotics, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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:
Durable Medical Equipment & Medical Supplies
Address:
8614 E Mill Plain Blvd Ste 110, Vancouver, Washington, 98664-2058
Phone:
360-213-2088
Fax:
360-213-0311
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:
503-704-5408
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:
1619096005
NPI Enumeration Date:
28 Mar, 2007
NPI Last Update On:
01 Nov, 2023
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.
Specialization
License Number
State
Status
Prosthetic/orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
602608675
Washington
Secondary
Customized Equipment
602608675
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9059551
Medicaid
Washington
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 911 Main St Ste 100, Oregon City, Oregon
Zip:
97045-1853
Phone Number:
503-765-5081
Fax Number:
971-316-1553
Patients can reach Evergreen Prosthetics And Orthotics, Llc at 8614 E Mill Plain Blvd Ste 110, Vancouver, Washington or can call to book an appointment on 360-213-2088. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.