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Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Caldwell, Idaho
NPI 1023503497

Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Oregon City, ID. Evergreen Prosthetics And Orthotics, Llc practices in Caldwell, ID. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1023503497 and holds a License No. (Idaho).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 1818 S 10Th Ave Ste 240, Caldwell, ID and can be reached out via phone at 208-608-6014.

Location: 1818 S 10Th Ave Ste 240, Caldwell, ID, 97045-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023503497
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
1818 S 10Th Ave Ste 240, Caldwell, ID, 97045-1853
Phone Number
208-608-6014
Fax Number
Provider Enumeration Date
06/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1818 S 10Th Ave Ste 240
City
Caldwell
State
Idaho
Zip
83605-4880
Phone Number
208-608-6014
Fax Number
person
Provider Business Mailing Address Details
Address
1818 S 10Th Ave Ste 240
City
Caldwell
State
Idaho
Zip
83605-4880
Phone Number
208-608-6014
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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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