EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1922299429
Prosthetic/Orthotic Supplier in Portland, OR
NPI Status: Active since August 08, 2007
Contact Information
11782 SW BARNES RD
STE 160E
PORTLAND, OR
ZIP 97225
Phone: (503) 641-2020
Fax: (503) 574-3274
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
This page provides the complete NPI Profile along with additional information for Evergreen Prosthetics And Orthotics, Llc, a provider established in Portland, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1922299429 assigned on August 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Timothy L O'neill Cpo (Owner)
- NPI
- 1922299429
- Provider Name
- EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
- Entity Type
- Organization
- Location Address
- 11782 SW BARNES RD STE 160E PORTLAND, OR 97225
- Location Phone
- (503) 641-2020
- Location Fax
- (503) 574-3274
- Mailing Address
- 911 MAIN ST STE 100 OREGON CITY, OR 97045
- Mailing Phone
- (503) 765-5081
- Mailing Fax
- (503) 574-3274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2007
- Last Update Date
- 11-22-2023
- Code Navigator
Evergreen Prosthetics And Orthotics, Llc is a medicare supplier with PTAN 20331827 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Gold Plan Legacy - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 274750 | MEDICAID (05) | OR |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20331827
- Accepts Medicare Assignment
- NO
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Lymphedema Compression Treatment Items -
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922299429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922299429, enumerated as an "organization" on August 08, 2007.
The provider is located at 11782 SW BARNES RD STE 160E PORTLAND, OR 97225 and the phone number is (503) 641-2020.
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.
