NPI | 1558439208 |
---|---|
Doing Business As | EVERGREEN PROSTHETICS AND ORTHOTICS, LLC |
Doing Business As | EVERGREEN PROSTHETICS AND ORTHOTICS |
Entity Type | Organization |
Authorized Contact | TIM O'NEILL President 503-407-5408 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
335E00000X Prosthetic/Orthotic Supplier (Licence: OR 399419) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2023-03-28 |