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 1831218767

Evergreen Prosthetics and Orthotics, LLC is a Durable Medical Equipment & Medical Supplies in Gresham, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
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

2850 SE Powell Valley Rd Ste 104
Gresham, OR 97080-1495
Phone: (503) 660-3180
Fax: (503) 660-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24076 Se Stark St Ste 320, Gresham, OR 97030-3386 — (503) 242-9136

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 681350 (OR)
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 681350 (OR)

Record details

NPI number1831218767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy O'Neill — Owner · (503) 407-5408
NPI enumeratedMarch 29, 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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