DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Active Organization

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC is a Prosthetic/Orthotic Supplier organization located in GRESHAM, Oregon. NPI 1831218767 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · GRESHAM, OR

Registration Details

NPI Number
1831218767
Provider Type
Organization
NPI Issued
Mar 29, 2007 (19.39744106007 yrs)
Last Updated
Nov 1, 2023
Licenses
681350 (OR)
681350 (OR)

Practice Information

Address
2850 SE POWELL VALLEY RD STE 104
GRESHAM, OR, 970801495
Browse OR providers · Browse ZIP 97080
Phone
5036603180
Fax
5036603180
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Additional Specialty
Customized Equipment (DME)
Additional Specialty
Prosthetic/Orthotic Supplier

Other Prosthetic/Orthotic Supplier Organizations in GRESHAM, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.