EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1235595760
Prosthetic/Orthotic Supplier in Astoria, OR

Active since January 13, 2016
2120 EXCHANGE ST, SUITE 204, ASTORIA, OR 97103(888) 574-5934 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Feb 11, 2020, Jun 5, 2019 and 1 more (4 updates tracked since 2016).

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 1235595760) is a healthcare organization registered as a prosthetic/orthotic supplier in Astoria, Oregon and active in the NPI registry since January 2016. The organization lists Timothy L O'neill, Owner, as its authorized official.

NPPES Registry Identity

NPI1235595760
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Location Address2120 EXCHANGE ST, SUITE 204Astoria, OR 97103-3365
Mailing Address911 Main St Ste 100Oregon City, OR 97045-1853 · (503) 765-5081 · Fax (971) 316-1553
Organization SubpartNo
Authorized OfficialTimothy L O'neillOwner · (503) 407-5408
Enumeration DateJanuary 13, 2016
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1235595760 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
2120 EXCHANGE ST, Astoria, OR 97103

Accepted 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 · Astoria, 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)20331815
Medicare Participant SinceJanuary 1, 2023
Supplier Location2120 Exchange St Suite 204Astoria, OR 97103
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

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.

Orthopaedic Surgery
2120 EXCHANGE ST
ASTORIA, OR 97103
Pharmacy (Community/Retail Pharmacy)
2120 EXCHANGE ST, STE 101
ASTORIA, OR 97103
Pediatrics
2120 EXCHANGE ST, SUITE 202
ASTORIA, OR 97103
Pediatrics
2120 EXCHANGE ST, SUITE 202
ASTORIA, OR 97103
Physician Assistant
2120 EXCHANGE ST, SUITE 111
ASTORIA, OR 97103
Counselor
2120 EXCHANGE ST
ASTORIA, OR 97103
Nurse Practitioner
2120 EXCHANGE ST, SUITE 200
ASTORIA, OR 97103
Physician Assistant (Medical)
2120 EXCHANGE ST, 111
ASTORIA, OR 97103

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 1235595760. It was assigned to this organization in the NPPES registry on January 13, 2016.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 2120 Exchange St Suite 204, Astoria, OR 97103. The listed phone number is (888) 574-5934.

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 with the weekly NPPES data releases published by CMS.