Evergreen Prosthetics And Orthotics, Llc in Oregon City - Prosthetic/orthotic Supplier
Evergreen Prosthetics And Orthotics, Llc - NPI 1821037284
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 1821037284. 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 | 5034075408 |
NPI Number Detail
| NPI Number | 1821037284 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 276323 | OR | -- |
Post Comment/ Review Below
What is the Evergreen Prosthetics And Orthotics, Llc's 1821037284?
The Evergreen Prosthetics And Orthotics, Llc's NPI (National Provider Identifier) Number is 1821037284. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Evergreen Prosthetics And Orthotics, Llc's facilities are situated?
The facilities of Evergreen Prosthetics And Orthotics, Llc are physically located at the following address: 911 Main St Ste 100, Oregon City, OR, 970451853.
What is the Evergreen Prosthetics And Orthotics, Llc's area of specialization and corresponding taxonomy classification?
The Evergreen Prosthetics And Orthotics, Llc's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1821037284 to Evergreen Prosthetics And Orthotics, Llc?
The Evergreen Prosthetics And Orthotics, Llc received its 1821037284 assignment from the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the Evergreen Prosthetics And Orthotics, Llc's information last updated?
The Evergreen Prosthetics And Orthotics, Llc's information was last updated on 2023-11-01.
NPI Number: 1467458307
Address: 324 Datura St, West Palm Beach, FL