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Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Gresham, Oregon
NPI 1831218767

Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Oregon City, OR. Evergreen Prosthetics And Orthotics, Llc practices in Gresham, OR. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1831218767 and holds a License No. 681350 (Oregon).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 2850 Se Powell Valley Rd Ste 104, Gresham, OR and can be reached out via phone at 503-660-3180 and via fax at 503-660-3180.

Location: 2850 Se Powell Valley Rd Ste 104, Gresham, OR, 97045-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831218767
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
2850 Se Powell Valley Rd Ste 104, Gresham, OR, 97045-1853
Phone Number
503-660-3180
Fax Number
503-660-3180
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
278247 05 OR
institution
Provider Business Practice Location Address Details
Address
2850 Se Powell Valley Rd Ste 104
City
Gresham
State
Oregon
Zip
97080-1495
Phone Number
503-660-3180
Fax Number
503-660-3180
person
Provider Business Mailing Address Details
Address
2850 Se Powell Valley Rd Ste 104
City
Gresham
State
Oregon
Zip
97080-1495
Phone Number
503-660-3180
Fax Number
503-660-3180
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.
681350 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
681350 (Oregon)
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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