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 Prosthetic/Orthotic Supplier · NPI 1790353589

Evergreen Prosthetics and Orthotics, LLC is a Prosthetic/Orthotic Supplier in Portland, Oregon. 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.

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Practice location Address checks out

5050 NE Hoyt St Ste B50
Portland, OR 97213-2957
Phone: (503) 467-4773
Fax: (503) 467-4775
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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 number1790353589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim O'Neill — President · (503) 407-5408
NPI enumeratedJune 16, 2021
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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