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
520 S COWLEY ST STE 104, SPOKANE, WA 99202-1315
(509) 866-4460
(509) 866-4461
Mailing address
8880 SW NIMBUS AVE STE A, BEAVERTON, OR 97008-7111
(503) 765-5081
(503) 765-5081
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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