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Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Vancouver, Washington
NPI 1063184141

Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Oregon City, WA. Evergreen Prosthetics And Orthotics, Llc practices in Vancouver, WA. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1063184141 and holds a License No. (Washington).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 2121 Ne 139Th St, Vancouver, WA and can be reached out via phone at 503-765-5081. You can also correspond with Evergreen Prosthetics And Orthotics, Llc through the mailing address at 911 MAIN ST STE 100, OREGON CITY, OR - 97045-1853 (mailing address contact number: 503-765-5081).

Location: 2121 Ne 139Th St, Vancouver, WA, 97045-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063184141
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
2121 Ne 139Th St, Vancouver, WA, 97045-1853
Phone Number
503-765-5081
Fax Number
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2121 Ne 139Th St
City
Vancouver
State
Washington
Zip
98686-2316
Phone Number
503-765-5081
Fax Number
person
Provider Business Mailing Address Details
Address
911 Main St Ste 100
City
Oregon City
State
Oregon
Zip
97045-1853
Phone Number
503-765-5081
Fax Number
971-316-1553
person
Provider's Taxonomy Details 1
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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