Organization · Type 2 NPI

Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier · Longview, WA

NPI number 1659813657 Active

Practice location

1052 Douglas St
Longview, WA 98632-2102

Call (360) 232-8525 Map

Fax (360) 232-8633

Mailing address

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

Other practice locations

  • 1555 3rd Ave Ste B, Longview, WA 98632-3268 · (360) 232-8525

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

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About NPI 1659813657

Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1659813657, issued on Nov 8, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Longview, WA. The record was last updated on Nov 1, 2023.