Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier in Vancouver, WA · enumerated 2007 · authorized official Timothy O'Neill, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619096005

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Prosthetics and Orthotics, LLC

Practice address 8614 E Mill Plain Blvd Ste 110, Vancouver, WA, 98664

Phone (360) 213-2088

Fax (360) 213-0311

Enumeration date Mar 28, 2007

Last updated in NPPES Nov 1, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 602608675 (WA) Secondary

332BC3200X Customized Equipment (DME) Suppliers · License 602608675 (WA) Secondary

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Timothy O'Neill

Title Owner

Phone (503) 704-5408

Other identifiers

Identifier	Type	State	Issuer
9059551	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-01. Verify at npiregistry.cms.hhs.gov.

Where is Evergreen Prosthetics and Orthotics, LLC located?

The practice location on file with NPPES is in Vancouver, WA.

Providers at this address

Browse all →

Nicole Halfman Prosthetist · Vancouver, WA NPI 1386538833

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-01.