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

Organization Durable Medical Equipment & Medical Supplies · NPI 1659813657

Evergreen Prosthetics and Orthotics, LLC is a Durable Medical Equipment & Medical Supplies in Longview, Washington. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
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

1052 Douglas St
Longview, WA 98632-2102
Phone: (360) 232-8525
Fax: (360) 232-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1555 3rd Ave Ste B, Longview, WA 98632-3268 — (360) 232-8525

Specialties & licences

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

Record details

NPI number1659813657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy O'Neill — Owner · (503) 407-5408
NPI enumeratedNovember 8, 2016
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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