institution
Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Portland, Oregon
NPI 1952767485

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 1952767485 and holds a License No. (Oregon).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 149 Ne 102Nd Ave, Portland, OR and can be reached out via phone at 503-208-3699 and via fax at 503-208-2210.

Location: 149 Ne 102Nd Ave, Portland, OR, 97045-1853
institution
Provider Profile Details
NPI Number
1952767485
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
149 Ne 102Nd Ave, Portland, OR, 97045-1853
Phone Number
503-208-3699
Fax Number
503-208-2210
Provider Enumeration Date
01/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
149 Ne 102Nd Ave
City
State
Zip
97220-4168
Phone Number
503-208-3699
Fax Number
503-208-2210
person
Provider Business Mailing Address Details
Address
149 Ne 102Nd Ave
City
State
Zip
97220-4168
Phone Number
503-208-3699
Fax Number
503-208-2210
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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