Organization · Type 2 NPI

Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier · Tillamook, OR

NPI number 1407212939 Active

Practice location

210 Ivy Ave, Suite E
Tillamook, OR 97141-2216

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.

Another provider at this address

About NPI 1407212939

Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1407212939, issued on Jan 13, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tillamook, OR. The record was last updated on Nov 1, 2023.