Organization · Type 2 NPI

Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier · Vancouver, WA

NPI number 1063184141 Active

Practice location

2121 NE 139th St, Bldg 1 Ste 225
Vancouver, WA 98686-2316

Call (503) 765-5081 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
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 1063184141

Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1063184141, issued on Sep 28, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 1, 2023.