Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Family Medicine, PC

Organization Family Medicine Physician · NPI 1568434025

Evergreen Family Medicine, PC is a Family Medicine Physician in Roseburg, Oregon. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1937 W Harvard Ave
Roseburg, OR 97471-2720
Phone: (541) 677-7200
Fax: (541) 229-3309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1813 W Harvard Ave, Roseburg, OR 97471-2752 — (541) 229-3332
  • 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 — (541) 229-3332

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Radiology Clinic/Center Taxonomy 261QR0200X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1568434025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Tyree — Coo · (541) 229-3332
Other names Evergreen Diagnostics; Evergreen Diagnostics; Evergreen Family Medicine
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214

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