1. Home
  2. Directory
  3. Oregon
  4. Gresham
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1831218767
Prosthetic/Orthotic Supplier in Gresham, OR

Active since March 29, 2007
2850 SE POWELL VALLEY RD STE 104, GRESHAM, OR 97080(503) 660-3180(503) 660-3180 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, Aug 1, 2022, Jan 15, 2021 and 6 more (9 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 1831218767) is a healthcare organization registered as a prosthetic/orthotic supplier in Gresham, Oregon and active in the NPI registry since March 2007. The organization lists Timothy L O'neill, Owner, as its authorized official.

NPPES Registry Identity

NPI1831218767
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Location Address2850 SE POWELL VALLEY RD STE 104Gresham, OR 97080-1495
Mailing Address911 Main St Ste 100Oregon City, OR 97045-1853 · (503) 765-5081 · Fax (971) 316-1553
Phone(503) 660-3180
Fax(503) 660-3180
Organization SubpartNo
Authorized OfficialTimothy L O'neillOwner · (503) 407-5408
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 1, 20239 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1831218767 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 681350 (OR)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 681350 (OR)
2850 SE POWELL VALLEY RD STE 104, Gresham, OR 97080
Open in Google Maps ↗

Other Identifiers 1

Medicaid278247OR

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 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 · Gresham, OROperated by Evergreen Prosthetics And Orthotics LLC
⋮

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)20333369
Medicare Participant SinceJanuary 1, 2023
Supplier Location2850 SE Powell Valley Rd Ste 104Gresham, OR 97080
Phone(503) 660-3180
Provider TypePedorthic Personnel
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.

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 1831218767. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 2850 SE Powell Valley Rd Ste 104, Gresham, OR 97080. The listed phone number is (503) 660-3180.

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.

What insurance does Evergreen Prosthetics And Orthotics, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska 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.