EVERGREEN PROSTHETICS AND ORTHOTICS – NPI #1124351580
Prosthetic/Orthotic Supplier

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.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

EVERGREEN PROSTHETICS AND ORTHOTICS is a DME Supplier located in GIG HARBOR, WA. NPPES has assigned the NPI number 1124351580 to EVERGREEN PROSTHETICS AND ORTHOTICS on September 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EVERGREEN PROSTHETICS AND ORTHOTICS” is a dba name, the actual legal business name for this organization is PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 7 years ago on Jul 23, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN PROSTHETICS AND ORTHOTICS below.

NPI Profile for
PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC

NPI Number
1124351580
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC
Doing Business As (dba): EVERGREEN PROSTHETICS AND ORTHOTICS
Primary location
3608 GRANDVIEW ST
GIG HARBOR, WA 98335
Phone: (253) 572-1282 Fax: (253) 572-1175
Mailing address
8880 SW NIMBUS AVE STE A
BEAVERTON, OR 97008-7111
Phone: (503) 765-5081 Fax: (503) 765-5081
Organization Subpart
Yes - EVERGREEN PROSTHETICS AND ORTHOTICS is subpart of another organization.
Authorized Official
TIMOTHY O'NEILL
OWNER
Phone: (503) 407-5408
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.