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Evergreen Oculofacial Plastic Surgery Llc
Ophthalmic Plastic and Reconstructive Surgery Physician in Bend, Oregon
NPI 1669133492

Evergreen Oculofacial Plastic Surgery Llc is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Bend, OR and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Evergreen Oculofacial Plastic Surgery Llc practices in Bend, OR. The NPI Number for Evergreen Oculofacial Plastic Surgery Llc is 1669133492 and holds a License No. (Oregon).

The current practice location address for Evergreen Oculofacial Plastic Surgery Llc is 929 Sw Simpson Ave Ste 250, Bend, OR and can be reached out via phone at 541-585-0505.

Location: 929 Sw Simpson Ave Ste 250, Bend, OR, 97708-6387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669133492
Provider Name
Evergreen Oculofacial Plastic Surgery Llc
Credential
Provider Entity Type
Organization
Address
929 Sw Simpson Ave Ste 250, Bend, OR, 97708-6387
Phone Number
541-585-0505
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598051732 01 CO ANTHEM
institution
Provider Business Practice Location Address Details
Address
929 Sw Simpson Ave Ste 250
City
Bend
State
Oregon
Zip
97702-3599
Phone Number
541-585-0505
Fax Number
person
Provider Business Mailing Address Details
Address
929 Sw Simpson Ave Ste 250
City
Bend
State
Oregon
Zip
97702-3599
Phone Number
541-585-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
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Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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Tara Marie Goecks
NPI 1598051732
Ophthalmic Plastic and Reconstructive Surgery Physician
929 Sw Simpson Ave Ste 250,
BEND, OR
97702-3599
541-585-0505
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