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EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1790353589
Prosthetic/Orthotic Supplier in Portland, OR

Active since June 16, 2021
5050 NE HOYT ST STE B50, PORTLAND, OR 97213(503) 467-4773(503) 467-4775 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, Jun 16, 2021 (2 updates tracked since 2021).

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 1790353589) is a healthcare organization registered as a prosthetic/orthotic supplier in Portland, Oregon and active in the NPI registry since June 2021. The organization lists Tim O'neill, President, as its authorized official.

NPPES Registry Identity

NPI1790353589
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Location Address5050 NE HOYT ST STE B50Portland, OR 97213-2957
Mailing Address911 Main St Ste 100Oregon City, OR 97045-1853 · (503) 765-5081 · Fax (971) 316-1553
Phone(503) 467-4773
Fax(503) 467-4775
Organization SubpartNo
Authorized OfficialTim O'neillPresident · (503) 407-5408
Enumeration DateJune 16, 2021
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1790353589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5050 NE HOYT ST STE B50, Portland, OR 97213
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Medical Equipment Supplier Medicare DMEPOS 4

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

Evergreen Prosthetics And Orthotics

DMEPOS supplier · Portland, OROperated by Evergreen Prosthetics And Orthotics LLC
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Does not accept Medicare assignment

Evergreen Prosthetics And 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)20331749
Medicare Participant SinceJanuary 1, 2023
Supplier Location5050 NE Hoyt St Ste B50Portland, OR 97213
Phone(503) 467-4773
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
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.

HANGER PROSTHETICS & ORTHOTICS WEST, INC.
Prosthetic/Orthotic Supplier
5050 NE HOYT ST STE B50
PORTLAND, OR 97213
Multnomah County (503) 433-9040

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 1790353589. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 5050 NE Hoyt St Ste B50, Portland, OR 97213. The listed phone number is (503) 467-4773.

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 And 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.

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.