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
1901 S CEDAR ST STE 202, TACOMA, WA 98405-2303
(253) 572-1282
(253) 572-1175
Mailing address
8880 SW NIMBUS AVE STE A, BEAVERTON, OR 97008-7111
(877) 971-7272
(971) 727-3162
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962541912
—
WA
Enumeration date
02/06/2007
Last updated
07/23/2019
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