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1619508702
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
MERIDIAN, ID
NPI
1619508702
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Entity Type
Organization
Authorized Contact
TIMOTHY L O'NEILL
President
503-407-5408
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2020-01-28
Last Update Date
2023-11-22
Business Address
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
1500 E HERITAGE PARK ST STE 100
MERIDIAN, ID 83646-5884
Phone number: 208-884-1294
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Mailing Address
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
911 MAIN ST STE 100
OREGON CITY, OR 97045-1853
Phone number: 503-765-5081
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