EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1003287269
Prosthetic/Orthotic Supplier in Portland, OR

Q: What is Evergreen Prosthetics And Orthotics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since October 14, 2015

501 N GRAHAM ST, STE 255, PORTLAND, OR 97227(503) 288-9929(503) 288-5904 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Aug 1, 2022, Feb 11, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Evergreen Prosthetics And Orthotics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC (NPI 1003287269) is a healthcare organization registered as a prosthetic/orthotic supplier in Portland, Oregon and active in the NPI registry since October 2015. The organization lists Tim O'neill, President, as its authorized official.

NPPES Registry Identity

NPI1003287269

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Location Address501 N GRAHAM ST, STE 255Portland, OR 97227-1654

Mailing Address911 Main St Ste 100Oregon City, OR 97045-1853 · (503) 765-5081 · Fax (971) 316-1553

Phone(503) 288-9929

Fax(503) 288-5904

Organization SubpartNo

Authorized OfficialTim O'neillPresident · (503) 641-2020

Enumeration DateOctober 14, 2015

Last NPPES UpdateNovember 1, 20235 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1003287269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

501 N GRAHAM ST, Portland, OR 97227

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Evergreen Prosthetics & Orthotics carries, from the Medicare DMEPOS supplier directory.

Evergreen Prosthetics & Orthotics

DMEPOS supplier · Portland, OROperated by Evergreen Prosthetics And Orthotics LLC

⋮

Does not accept Medicare assignment

Evergreen Prosthetics & Orthotics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20331803

Medicare Participant SinceJanuary 1, 2023

Supplier Location501 N Graham St Ste 255Portland, OR 97227

Phone(503) 288-9929

Provider TypeCertified Orth/Pros/Pedorthist

Medicare Product Categories

Lymphedema Compression Treatment Items

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES FRANCIS DEITLE PA-C

Physician Assistant

501 N GRAHAM ST, SUITE #580
PORTLAND, OR 97227

Multnomah County (503) 528-0704

HELEN MONTIE MSN, APRN, CPNP-PC

Nurse Practitioner (Pediatrics)

501 N GRAHAM ST
PORTLAND, OR 97227

Multnomah County (503) 413-2200

DR. KARIN ANN SELVA MD

Pediatrics (Pediatric Endocrinology)

501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227

Multnomah County (503) 413-1600

SURGICAL CENTER, INC

Surgery

501 N GRAHAM ST, SUITE 555
PORTLAND, OR 97227

Multnomah County (503) 288-7535

EMANUEL CHILDREN'S DIABETES AND ENDOCRINE CENTER

Clinic/Center

501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227

Multnomah County (503) 413-1600

MRS. PATRICIA KREINBERG VROOMAN CPNP

Nurse Practitioner (Pediatrics)

501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227

Multnomah County (503) 413-2560

CYNTHIA ANN GINGALEWSKI MD

Surgery (Pediatric Surgery)

501 N GRAHAM ST, MOB 2 SUITE 300
PORTLAND, OR 97227

Multnomah County (503) 413-4300

DR. CRAIG MARTIN NOVACK M.D.

Pediatrics (Neonatal-Perinatal Medicine)

501 N GRAHAM ST, SUITE 265
PORTLAND, OR 97227

Multnomah County (503) 282-7002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Prosthetics And Orthotics, LLC's NPI number?

The NPI number for Evergreen Prosthetics And Orthotics, LLC is 1003287269. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 501 N Graham St Ste 255, Portland, OR 97227. The listed phone number is (503) 288-9929.

What is Evergreen Prosthetics And Orthotics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Evergreen Prosthetics And Orthotics, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Evergreen Prosthetics & Orthotics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Evergreen Prosthetics And Orthotics, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Evergreen Prosthetics And Orthotics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Prosthetics And Orthotics, LLC was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.