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Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Longview, Washington
NPI 1659813657

Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Oregon City, WA. Evergreen Prosthetics And Orthotics, Llc practices in Longview, WA. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1659813657 and holds a License No. (Washington).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 1052 Douglas St, Longview, WA and can be reached out via phone at 360-232-8525 and via fax at 360-232-8633.

Location: 1052 Douglas St, Longview, WA, 97045-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659813657
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
1052 Douglas St, Longview, WA, 97045-1853
Phone Number
360-232-8525
Fax Number
360-232-8633
Provider Enumeration Date
11/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1052 Douglas St
City
Longview
State
Washington
Zip
98632-2102
Phone Number
360-232-8525
Fax Number
360-232-8633
person
Provider Business Mailing Address Details
Address
1052 Douglas St
City
Longview
State
Washington
Zip
98632-2102
Phone Number
360-232-8525
Fax Number
360-232-8633
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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