Organization · Type 2 NPI
Evergreen Prosthetics and Orthotics, LLC
Prosthetic/Orthotic Supplier · Gresham, OR
Practice location
2850 SE Powell Valley Rd Ste 104
Gresham, OR 97080-1495
Fax (503) 660-3180
Mailing address
911 Main St Ste 100
Oregon City, OR 97045-1853
Other practice locations
- 24076 SE Stark St Ste 320, Gresham, OR 97030-3386 · (503) 242-9136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 681350 (OR) |
| Customized Equipment (DME) | 332BC3200X | 681350 (OR) |
| 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 Gresham
About NPI 1831218767
Evergreen Prosthetics and Orthotics, LLC's National Provider Identifier is 1831218767, issued on Mar 29, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Gresham, OR. The record was last updated on Nov 1, 2023.