institution
Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Portland, Oregon
NPI 1922299429

Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Oregon City, OR. Evergreen Prosthetics And Orthotics, Llc practices in Portland, OR. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1922299429 and holds a License No. (Oregon).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 11782 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-641-2020 and via fax at 503-574-3274. 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: 11782 Sw Barnes Rd, Portland, OR, 97045-1853
institution
Provider Profile Details
NPI Number
1922299429
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
11782 Sw Barnes Rd, Portland, OR, 97045-1853
Phone Number
503-641-2020
Fax Number
503-574-3274
Provider Enumeration Date
08/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274750 05 OR
institution
Provider Business Practice Location Address Details
Address
11782 Sw Barnes Rd
City
State
Zip
97225-5914
Phone Number
503-641-2020
Fax Number
503-574-3274
person
Provider Business Mailing Address Details
Address
911 Main St Ste 100
City
State
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
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
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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