EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1922299429
Prosthetic/Orthotic Supplier in Portland, OR

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 August 08, 2007

11782 SW BARNES RD, STE 160E, PORTLAND, OR 97225(503) 641-2020(503) 574-3274 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2023, Nov 1, 2023, Feb 11, 2020 and 2 more (5 updates tracked since 2019).

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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 1922299429) is a healthcare organization registered as a prosthetic/orthotic supplier in Portland, Oregon and active in the NPI registry since August 2007. The organization lists Timothy L O'neill, Owner, as its authorized official.

NPPES Registry Identity

NPI1922299429

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Location Address11782 SW BARNES RD, STE 160EPortland, OR 97225-5914

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

Phone(503) 641-2020

Fax(503) 574-3274

Organization SubpartNo

Authorized OfficialTimothy L O'neillOwner · (503) 407-5408

Enumeration DateAugust 8, 2007

Last NPPES UpdateNovember 22, 20235 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1922299429 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

11782 SW BARNES RD, Portland, OR 97225

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Other Identifiers 1

Medicaid274750OR

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 carries, from the Medicare DMEPOS supplier directory.

Evergreen Prosthetics & Orthotics

DMEPOS supplier · Portland, OROperated by Evergreen Prosthetics And Orthotics LLC

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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)20331827

Medicare Participant SinceJanuary 1, 2023

Supplier Location11782 SW Barnes Rd Ste C-160ePortland, OR 97225

Phone(503) 641-2020

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.

LANE WILLIAMS

Physical Therapist

11782 SW BARNES RD
PORTLAND, OR 97225

Washington County (503) 906-4323

MS. SANDI JO MCRAE OT

Occupational Therapist

11782 SW BARNES RD, STE 300
PORTLAND, OR 97225

Washington County (503) 214-5200

DANIEL LEWIS FISHER CST

Specialist/Technologist, Other (Surgical Technologist)

11782 SW BARNES RD, SUITE 300
PORTLAND, OR 97225

Washington County (503) 214-5200

DR. ILMAR SOOT M.D.

Specialist

11782 SW BARNES RD, STE 300
PORTLAND, OR 97225

Washington County (503) 214-5200

DR. ALEXANDER MATTHEW DEHAAN M.D.

Orthopaedic Surgery

11782 SW BARNES RD, SUITE 300
PORTLAND, OR 97225

Washington County (503) 214-5200

THELMA JEAN MAYS MD PC

Anesthesiology

11782 SW BARNES RD, BLDG C 200
PORTLAND, OR 97225

Washington County (503) 906-4300

MR. MICHAEL D MONETA MD

Anesthesiology

11782 SW BARNES RD, BLDG C #200
PORTLAND, OR 97225

Washington County (503) 906-4300

MICHELE SHIVACK PT,ATC

Physical Therapist (Orthopedic)

11782 SW BARNES RD, SUITE 300
PORTLAND, OR 97225

Washington County (503) 906-4323

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 1922299429. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 11782 SW Barnes Rd Ste 160E, Portland, OR 97225. The listed phone number is (503) 641-2020.

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 22, 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.