Evergreen Prosthetics And Orthotics, Llc in Oregon City - Prosthetic/orthotic Supplier
Evergreen Prosthetics And Orthotics, Llc - NPI 1619096005
Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/orthotic Supplier in Oregon City, Oregon. Evergreen Prosthetics And Orthotics, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1619096005. The last update date is 2023-11-01.
Evergreen Prosthetics And Orthotics, Llc's current location address is 911 Main St Ste 100, Oregon City, Oregon. You can contact this provider via phone number 5037655081 and fax number 9713161553. The mailing address for Evergreen Prosthetics And Orthotics, Llc is 911 Main St Ste 100, Oregon City, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Prosthetics And Orthotics, Llc |
|---|---|
| Address | 911 Main St Ste 100, Oregon City, Oregon |
| Phone Number | 5037655081 |
| Fax Number | 9713161553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | O'Neill L Timothy |
| Credentials | CPO |
| Telephone Number | 5037045408 |
NPI Number Detail
| NPI Number | 1619096005 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2023-11-01 |
Provider Mailing Address Detail
| Address | 911 Main St Ste 100 |
|---|---|
| City | Oregon City |
| State | Oregon (OR) |
| Post Code | 970451853 |
| Phone Number | 5037655081 |
| Fax Number | 9713161553 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: 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 f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9059551 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Prosthetics And Orthotics, Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Prosthetics And Orthotics, Llc has been assigned the NPI (National Provider Identifier) 1619096005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Evergreen Prosthetics And Orthotics, Llc's physical address?
The Evergreen Prosthetics And Orthotics, Llc is physically located at 911 Main St Ste 100, in the city of Oregon City, OR, with the postal code 970451853.
What is Evergreen Prosthetics And Orthotics, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evergreen Prosthetics And Orthotics, Llc is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
When did the Evergreen Prosthetics And Orthotics, Llc receive its 1619096005?
The Evergreen Prosthetics And Orthotics, Llc was issued its 1619096005 on 2007-03-28, which is the date when the organization was assigned this unique identifier.
When was the information regarding Evergreen Prosthetics And Orthotics, Llc most recently updated?
The details pertaining to the Evergreen Prosthetics And Orthotics, Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-11-01.