Evergreen Family Medicine, PC

NPI #1417929050 in Roseburg, Oregon

Provider Information

NPI Number: 1417929050
Entity Type: Organization
Organization Name: Evergreen Family Medicine, PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 7, 2006
Last Updated: Jul 22, 2025

Practice Location

Address: 2570 NW EDENBOWER BLVD STE 100
City: Roseburg
State: Oregon
ZIP Code: 97471-6214
Phone: (541) 229-3301

Authorized Official

Name: KIMBERLY TYREE
Title: COO
Phone: (541) 229-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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