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EVERGREEN PROSTHETICS AND ORTHOTICS LLC

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Company Details

Legal Name: EVERGREEN PROSTHETICS AND ORTHOTICS LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: January 23rd 2017
Expiration date: 31 Jan 2026
UBI Number: 602 608 675
ZIP code: 98664
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8614 E MILL PLAIN BLVD STE 110, VANCOUVER, WA, 98664-2058, UNITED STATES

Contact Details

E-Mail: T.DO@EVERGREENPO.COM
Phone Number: +1 503-765-5037

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
EVERGREEN PROSTHETICS AND ORTHOTICS LLC Registered Agent

Key Officers & Management

Name Role
TIM O'NEILL Governing Person

National Provider Identifier

NPI Number:
1063184141
Certification Date:
2023-11-01

Authorized Person:

Name:
TIM O'NEILL
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9713161553

Form 5500 Series

Employer Identification Number (EIN):
870739765
Plan Year:
2023
Number Of Participants:
96
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ALEX ST. LOUIS(Plan administrator)
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