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Evergreen Prosthetics and Orthotics, LLC

Evergreen Prosthetics and Orthotics, LLC is a healthcare organization registered as Prosthetic/Orthotic Supplier in Gresham, OR, holding Type 2 (organization) NPI 1831218767 since 2007. The authorized official on file is Timothy O'Neill, Owner.

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NPI 1831218767
Entity type Organization (Type 2)
Legal business name Evergreen Prosthetics and Orthotics, LLC
Practice address 2850 SE POWELL VALLEY RD STE 104, Gresham, OR, 97080
Phone 5036603180
Fax 5036603180
Enumeration date 2007-03-29
Last updated in NPPES 2023-11-01

Authorized official

Name Timothy O'Neill
Title Owner
Phone 5034075408

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary 681350 OR
332BC3200X Customized Equipment (DME) Secondary 681350 OR
335E00000X Prosthetic/Orthotic Supplier Primary

Other identifiers

Identifier Type State Issuer
278247 Medicaid OR
Copy-ready billing details
Provider: Evergreen Prosthetics and Orthotics, LLC
NPI: 1831218767
Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier)
Address: 2850 SE POWELL VALLEY RD STE 104, Gresham, OR, 97080

Verify this record

Cross-check NPI 1831218767 against the authoritative CMS record: view Evergreen Prosthetics and Orthotics, LLC on the official NPPES registry .

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 or validate an NPI number.

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 Gresham, OR.

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