Organization
PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC
Active
Other names
Evergreen Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L O'NEILL CPO (OWNER)
(503) 407-5408
Entity
Organization
Contact information
Practice address
1708 YAKIMA AVE STE 60, TACOMA, WA 98405
(253) 572-1282
(253) 572-1175
Mailing address
8880 SW NIMBUS AVE STE A, BEAVERTON, OR 97008-7111
(509) 496-1359
(971) 727-3162
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
11/01/2023
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