EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1821037284
Prosthetic/Orthotic Supplier in Hillsboro, OR

Active since June 04, 2006
862 SE OAK ST STE 2B, HILLSBORO, OR 97123(503) 726-1010(503) 726-1011 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2023, Jul 23, 2019, Jun 5, 2019 (3 updates tracked since 2019).

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 1821037284) is a healthcare organization registered as a prosthetic/orthotic supplier in Hillsboro, Oregon and active in the NPI registry since June 2006. The organization lists Timothy L O'neill, Owner, as its authorized official.

NPPES Registry Identity

NPI1821037284
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Location Address862 SE OAK ST STE 2BHillsboro, OR 97123-4240
Mailing Address911 Main St Ste 100Oregon City, OR 97045-1853 · (503) 765-5081 · Fax (971) 316-1553
Fax(503) 726-1011
Organization SubpartNo
Authorized OfficialTimothy L O'neillOwner · (503) 407-5408
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1821037284 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
862 SE OAK ST STE 2B, Hillsboro, OR 97123

Other Identifiers 1

Medicaid276323OR

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20333819
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Lymphedema Compression Treatment Items -

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821037284, enumerated as an "organization" on June 04, 2006.

The provider is located at 862 SE OAK ST STE 2B HILLSBORO, OR 97123 and the phone number is (503) 726-1010.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.