Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Prosthetics and Orthotics, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1003287269

Evergreen Prosthetics and Orthotics, LLC is a Durable Medical Equipment & Medical Supplies in Portland, Oregon. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 N Graham St Ste 255
Portland, OR 97227-1654
Phone: (503) 288-9929
Fax: (503) 288-5904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1003287269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim O'Neill — President · (503) 641-2020
NPI enumeratedOctober 14, 2015
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address911 Main St Ste 100, Oregon City, OR 97045-1853

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