Organization · Type 2 NPI

Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier · Portland, OR

NPI number 1790353589 Active

Practice location

5050 NE Hoyt St Ste B50
Portland, OR 97213-2957

Call (503) 467-4773 Map

Fax (503) 467-4775

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 1790353589

Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1790353589, issued on Jun 16, 2021. 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.