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 11782 Sw Barnes Rd Ste 160E, Portland OR 97225-5914. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Evergreen Prosthetics And Orthotics, Llc can be contacted via phone (503) 641-2020, or through O'Neill, Timothy L via phone (503) 407-5408.
Contact Information
Primary practice address
11782 Sw Barnes Rd Ste 160E
Portland OR 97225-5914
Phone: (503) 641-2020
Fax: (503) 574-3274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1922299429 |
|---|---|
| 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 | Aug 8th, 2007 |
| Last updated | Nov 22nd, 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 | 1922299429 | NPPES |
| Oregon | MEDICAID | 274750 |
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