Evergreen Prosthetics And Orthotics, Llc
LBN: Evergreen Prosthetics And Orthotics, Llc
Evergreen Prosthetics And Orthotics, Llc is an health care organization with primary practice located at 8614 E Mill Plain Blvd Ste 110 , Vancouver WA 98664-2058. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Evergreen Prosthetics And Orthotics, Llc can be contacted via phone (360) 213-2088, or through O'Neill, Timothy L via phone (503) 704-5408.
Contact Information
Primary practice address
8614 E Mill Plain Blvd Ste 110
Vancouver WA 98664-2058
Phone: (360) 213-2088
Fax: (360) 213-0311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 602608675 | Washington |
| Suppliers / Customized Equipment | 332BC3200X | 602608675 | Washington |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1619096005 |
|---|---|
| LBN Legal business name | Evergreen Prosthetics And Orthotics, Llc |
| DBA Doing business as | |
| Authorized official | O'Neill, Timothy L CPO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Nov 1st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619096005 | NPPES |
| Washington | MEDICAID | 9059551 |
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