Evergreen Prosthetics And Orthotics, Llc in Oregon City - Prosthetic/orthotic Supplier
Evergreen Prosthetics And Orthotics, Llc - NPI 1922299429
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 1922299429. The last update date is 2023-11-22.
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 | 1922299429 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2023-11-22 |
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 |
|---|---|---|---|
| 274750 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Evergreen Prosthetics And Orthotics, Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Prosthetics And Orthotics, Llc has been issued the NPI (National Provider Identifier) 1922299429, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Evergreen Prosthetics And Orthotics, Llc is physically located?
The Evergreen Prosthetics And Orthotics, Llc is physically situated 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 assign the 1922299429 to Evergreen Prosthetics And Orthotics, Llc?
The Centers for Medicare & Medicaid Services assigned the 1922299429 to Evergreen Prosthetics And Orthotics, Llc on 2007-08-08.
As of what date was the information pertaining to Evergreen Prosthetics And Orthotics, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evergreen Prosthetics And Orthotics, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-22.
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