Organization · Type 2 NPI
Evergreen Prosthetics and Orthotics, LLC
Prosthetic/Orthotic Supplier · Caldwell, ID
Practice location
1818 S 10th Ave Ste 240
Caldwell, ID 83605-4880
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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.
Other prosthetic/orthotic supplier providers in Caldwell
About NPI 1023503497
Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1023503497, issued on Jun 27, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Caldwell, ID. The record was last updated on Oct 30, 2023.