Evergreen Prosthetics And Orthotics, Llc
Prosthetic/orthotic Supplier
2850 Se Powell Valley Rd Ste 104, Gresham
Oregon, 97080-1495
503-660-3180 503-660-3180
Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/orthotic Supplier in Gresham, Oregon. It is located at 2850 Se Powell Valley Rd Ste 104, Gresham and it's customer support contact number is 503-660-3180. The authorized person of Evergreen Prosthetics And Orthotics, Llc is Timothy L O'neill, CPO who is Owner of this DME and his contact number is 503-407-5408. Evergreen Prosthetics And Orthotics, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Evergreen Prosthetics And Orthotics, Llc is 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.
DME Supplier Details:
Evergreen Prosthetics And Orthotics, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Evergreen Prosthetics And Orthotics, Llc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 2850 Se Powell Valley Rd Ste 104, Gresham,
Oregon, 97080-1495 |
| Phone: | 503-660-3180 |
| Fax: | 503-660-3180 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Timothy L O'neill |
| Credentials: | CPO |
| Position: | Owner |
| Contact Number: | 503-407-5408 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1831218767 |
| NPI Enumeration Date: | 29 Mar, 2007 |
| NPI Last Update On: | 01 Nov, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Prosthetics And Orthotics, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Durable Medical Equipment & Medical Supplies | 681350 | Oregon | Secondary | |
| Customized Equipment | 681350 | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 278247 | Medicaid | Oregon | |
Medicare Enrollment:
Evergreen Prosthetics And Orthotics, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5890906432 | O20100930049358 | Evergreen Prosthetics And Orthotics Llc | DME SUPPLIER - PROSTHETIC PERSONNEL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 911 Main St Ste 100,
Oregon City, Oregon |
| Zip: | 97045-1853 |
| Phone Number: | 503-765-5081 |
| Fax Number: | 971-316-1553 |
Patients can reach Evergreen Prosthetics And Orthotics, Llc at
2850 Se Powell Valley Rd Ste 104, Gresham, Oregon or can
call on customer care at 503-660-3180.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.