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

Evergreen Prosthetics and Orthotics, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1063184141

Evergreen Prosthetics and Orthotics, LLC is a Prosthetic/Orthotic Supplier in Vancouver, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2121 NE 139th St Bldg 1 Ste 225
Vancouver, WA 98686-2316
Phone: (503) 765-5081
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1063184141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim O'Neill — President · (503) 407-5408
NPI enumeratedSeptember 28, 2021
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address911 Main St Ste 100, Oregon City, OR 97045-1853