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

Evergreen Oculofacial Plastic Surgery LLC

Organization Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1669133492

Evergreen Oculofacial Plastic Surgery LLC is an Ophthalmic Plastic and Reconstructive Surgery Physician in Bend, Oregon. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

929 SW Simpson Ave Ste 250
Bend, OR 97702-3599
Phone: (541) 585-0505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X

Record details

NPI number1669133492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Goecks — Owner · (303) 228-3220
NPI enumeratedJanuary 4, 2022
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing addressPo Box 6387, Bend, OR 97708-6387

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