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Evergreen Oculofacial Plastic Surgery LLC — NPI 1669133492, Bend, OR | NPI Central

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NPI 1669133492

OrganizationActive

Evergreen Oculofacial Plastic Surgery LLC

NPI 1669133492 · Ophthalmic Plastic and Reconstructive Surgery Physician · Bend, OR

Provider details

NPI number: 1669133492
Entity type: Organization
Primary specialty: Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Tara Goecks, Owner(303) 228-3220

Specialties & taxonomies

Ophthalmic Plastic and Reconstructive Surgery PhysicianPrimary207WX0200X
Allopathic & Osteopathic Physicians

Practice location

929 Sw Simpson Ave Ste 250

Bend, OR 97702-3599

Phone: (541) 585-0505

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 6387

Bend, OR 97708-6387

Additional practice locations (1)

1190 Bookcliff Ave Unit 102
Grand Junction, CO 81501-8159
Phone: (303) 228-3220

Registry dates

Enumerated: 2022-01-04
Last updated: 2024-03-20
Certified: 2024-03-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.