EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1619096005
Prosthetic/Orthotic Supplier in Vancouver, WA

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 March 28, 2007

8614 E MILL PLAIN BLVD STE 110, VANCOUVER, WA 98664(360) 213-2088(360) 213-0311 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, Mar 3, 2022, Jul 23, 2019 and 1 more (4 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 1619096005) is a healthcare organization registered as a prosthetic/orthotic supplier in Vancouver, Washington and active in the NPI registry since March 2007. The organization lists Timothy L O'neill, Owner, as its authorized official.

NPPES Registry Identity

NPI1619096005

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Location Address8614 E MILL PLAIN BLVD STE 110Vancouver, WA 98664-2058

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

Phone(360) 213-2088

Fax(360) 213-0311

Organization SubpartNo

Authorized OfficialTimothy L O'neillOwner · (503) 704-5408

Enumeration DateMarch 28, 2007

Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1619096005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · License 602608675 (WA)

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 602608675 (WA)

8614 E MILL PLAIN BLVD STE 110, Vancouver, WA 98664

Open in Google Maps ↗

Other Identifiers 1

Medicaid9059551WA

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 L carries, from the Medicare DMEPOS supplier directory.

Evergreen Prosthetics & Orthotics L

DMEPOS supplier · Vancouver, WAOperated by Evergreen Prosthetics And Orthotics LLC

⋮

Does not accept Medicare assignment

Evergreen Prosthetics & Orthotics L 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)20331833

Medicare Participant SinceJanuary 1, 2023

Supplier Location8614 E Mill Plain Blvd Ste 110Vancouver, WA 98664

Phone(360) 213-2088

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

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

NICOLE HALFMAN LCPO

Prosthetist

8614 E MILL PLAIN BLVD STE 110
VANCOUVER, WA 98664

Clark County (360) 213-2088

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 1619096005. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 8614 E Mill Plain Blvd Ste 110, Vancouver, WA 98664. The listed phone number is (360) 213-2088.

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 L 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.