Organization · Type 2 NPI

Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier · Portland, OR

NPI number 1003287269 Active

Practice location

501 N Graham St, Ste 255
Portland, OR 97227-1654

Call (503) 288-9929 Map

Fax (503) 288-5904

Mailing address

911 Main St Ste 100
Oregon City, OR 97045-1853

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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.

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About NPI 1003287269

Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1003287269, issued on Oct 14, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Portland, OR. The record was last updated on Nov 1, 2023.