EVERGREEN PROSTHETICS AND ORTHOTICS, LLC – NPI #1255723391
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.

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC is a DME Supplier located in SPOKANE VALLEY, WA. NPPES has assigned the NPI number 1255723391 to EVERGREEN PROSTHETICS AND ORTHOTICS, LLC on February 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 3 years ago on Nov 01, 2023. 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, LLC below.

NPI Profile for
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

NPI Number
1255723391
Enumeration Date

(more than 11 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
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Primary location
1424 N MCDONALD RD
SUITE 201
SPOKANE VALLEY, WA 99216-6017
Phone: (509) 926-1403 Fax: (509) 926-1404
Mailing address
911 MAIN ST STE 100
OREGON CITY, OR 97045-1853
Phone: (503) 765-5081 Fax: (971) 315-1553
Organization Subpart
Yes - EVERGREEN PROSTHETICS AND ORTHOTICS, LLC is subpart of another organization.
Authorized Official
TIMOTHY O'NEILL
OWNER
Phone: (503) 407-5408
Updated
Certification Date
Nov 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.