Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Prosthetics and Orthotics, LLC

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

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

National Provider Identifier

1831218767

Verified

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Registry record

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 (503) 660-3180

Fax (503) 660-3180

Enumeration date Mar 29, 2007

Last updated in NPPES Nov 1, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 681350 (OR) Secondary

332BC3200X Customized Equipment (DME) Suppliers · License 681350 (OR) Secondary

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Timothy O'Neill

Title Owner

Phone (503) 407-5408

Other identifiers

Identifier	Type	State	Issuer
278247	Medicaid	OR	-

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.

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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 2026-07-13. Provider record last updated 2023-11-01.