| NPI | 1861492621 |
|---|---|
| Doing Business As | EVERGREEN PROSTHETICS AND ORTHOTICS |
| Doing Business As | EVERGREEN PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L O'NEILL President 503-407-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2024-04-11 |