Evergreen Prosthetics And Orthotics

LBN: Oregon Orthotic Services
Evergreen Prosthetics And Orthotics is an health care organization with primary practice located at 8880 Sw Nimbus Ave Ste A , Beaverton OR 97008-7111. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Oregon Orthotic Services can be contacted via phone (877) 971-7272, or through O'Neill, Timothy L via phone (503) 704-5408.

Contact Information

Primary practice address
8880 Sw Nimbus Ave Ste A Beaverton OR 97008-7111
Phone: (877) 971-7272
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Neill, Timothy L
Phone: (503) 704-5408

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1619445657
LBN Legal business name Oregon Orthotic Services
DBA Doing business as Evergreen Prosthetics And Orthotics
Authorized official O'Neill, Timothy L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2018
Last updated Jun 5th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619445657 NPPES
Oregon MEDICAID 27475

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