Organization
OREGON ORTHOTIC SERVICES, INC
Active
Other names
Evergreen Prosthetics and Orthotics, Evergreen Prosthetics and Orthotics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIM O'NEILL (PRESIDENT)
(503) 407-5408
Entity
Organization
Contact information
Practice address
126 W 5TH AVE, DENVER, CO 80204-5105
(720) 858-1111
(720) 858-7052
Mailing address
911 MAIN ST STE 100, OREGON CITY, OR 97045-1853
(503) 765-5081
(503) 765-5081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
399419
OR
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
03/28/2023
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