Evergreen Prosthetics And Orthotics

LBN: Preferred Orthotic And Prosthetic Services Inc
Evergreen Prosthetics And Orthotics is an health care organization with primary practice located at 1901 S Cedar St Ste 202 , Tacoma WA 98405-2303. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Preferred Orthotic And Prosthetic Services Inc can be contacted via phone (253) 572-1282, or through O'Neill, Timothy L via phone (503) 407-5408.

Contact Information

Primary practice address
1901 S Cedar St Ste 202 Tacoma WA 98405-2303
Phone: (253) 572-1282
Fax: (253) 572-1175
Website:
Map and Directions
Authorized official contact:
Name: O'Neill, Timothy L CPO
Phone: (503) 407-5408

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1962541912
LBN Legal business name Preferred Orthotic And Prosthetic Services Inc
DBA Doing business as Evergreen Prosthetics And Orthotics
Authorized official O'Neill, Timothy L CPO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 23rd, 2019 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962541912 NPPES
Washington MEDICAID 1962541912

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