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

Evergreen Prosthetics and Orthotics, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1023503497

Evergreen Prosthetics and Orthotics, LLC is a Durable Medical Equipment & Medical Supplies in Caldwell, Idaho. Registered with an NPI since 2018.

In the registry since
2018
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

1818 S 10th Ave Ste 240
Caldwell, ID 83605-4880
Phone: (208) 608-6014
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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 number1023503497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy O'Neill — Owner · (503) 407-5408
NPI enumeratedJune 27, 2018
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address911 Main St Ste 100, Oregon City, OR 97045-1853

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