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 1619096005

Evergreen Prosthetics and Orthotics, LLC is a Durable Medical Equipment & Medical Supplies in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
3
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

8614 E Mill Plain Blvd Ste 110
Vancouver, WA 98664-2058
Phone: (360) 213-2088
Fax: (360) 213-0311
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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 · Licence 602608675 (WA)
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 602608675 (WA)

Record details

NPI number1619096005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy O'Neill — Owner · (503) 704-5408
NPI enumeratedMarch 28, 2007
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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