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Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Vancouver, Washington
NPI 1619096005

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 1619096005 and holds a License No. 602608675 (Washington).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 8614 E Mill Plain Blvd Ste 110, Vancouver, WA and can be reached out via phone at 360-213-2088 and via fax at 360-213-0311. 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: 8614 E Mill Plain Blvd Ste 110, Vancouver, WA, 97045-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619096005
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
8614 E Mill Plain Blvd Ste 110, Vancouver, WA, 97045-1853
Phone Number
360-213-2088
Fax Number
360-213-0311
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9059551 05 WA
institution
Provider Business Practice Location Address Details
Address
8614 E Mill Plain Blvd Ste 110
City
Vancouver
State
Washington
Zip
98664-2058
Phone Number
360-213-2088
Fax Number
360-213-0311
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
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
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
602608675 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
602608675 (Washington)
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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