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EVERGREEN PROSTHETICS AND ORTHOTICS LLC

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Company Details

Name: EVERGREEN PROSTHETICS AND ORTHOTICS LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 11 Jul 2018 (7 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 617370
Place of Formation: OREGON
File Number: 617370
ZIP code: 83605
County: Canyon County
Principal Address: SUITE A 1818 S 10TH AVE CALDWELL, ID 83605-4803
Mailing Address: STE 101H 4660 NE BELKNAP CT HILLSBORO, OR 97124-6467

Agent

Name Role Address
TIMOTHY L O'NEILL Agent 1500 E HERITAGE PARK ST, SUITE 100, MERIDIAN, ID 83646

Member

Name Role Address Appointed On Resigned On
TIMOTHY L O'NEILL Member 8880 SW NIMBUS AVE, BEAVERTON, OR 97008-7111 2021-06-03 2023-07-05

Manager

Name Role Address Appointed On
Evergreen Prosthetics & Orthotics Manager 4660 NE BELKNAP CT, HILLSBORO, OR 97124 2023-07-05

National Provider Identifier

NPI Number:
1578150454
Certification Date:
2023-11-01

Authorized Person:

Name:
TIMOTHY L O'NEILL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Fax:
9713161553
Fax:
2088841293

Filing

Filing Name Filing Number Filing date
Annual Report 0006295532 2025-06-03
Annual Report 0005756754 2024-06-03
Annual Report 0005303954 2023-07-05
Annual Report 0004768245 2022-06-03
Annual Report 0004300792 2021-06-03

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Date of last update: 11 Jun 2025

Sources: Idaho Secretary of State