Evergreen Prosthetics and Orthotics, LLC
Evergreen Prosthetics and Orthotics, LLC is a Prosthetic/Orthotic Supplier in Fruitland, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
425 S Whitley Dr Ste 431Fruitland, ID 83619-2611
Phone: (208) 884-1294
Fax: (208) 884-1293
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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 |
|---|
Record details
| NPI number | 1578150454 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy O'Neill — President · (503) 407-5408 |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | November 1, 2023 |
| Certification date | November 1, 2023 |
| Mailing address | 911 Main St Ste 100, Oregon City, OR 97045-1853 |
Other providers in Fruitland
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Idaho Orthotic Prosthetic Services, Inc
425 S Whitley Dr Ste 431, Fruitland, ID 83619-2611 · (208) 884-1294