Evergreen Dermatology Llc

LBN: Evergreen Dermatology Llc
Evergreen Dermatology Llc is an health care organization with primary practice located at 21 Hayden Bridge Way , Springfield OR 97477-1305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Evergreen Dermatology Llc can be contacted via phone (541) 600-2017, or through Fix, Lindsey via phone (252) 561-5558.

Contact Information

Primary practice address
21 Hayden Bridge Way Springfield OR 97477-1305
Phone: (541) 600-2017
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fix, Lindsey Doctor of Medicine (MD)
Phone: (252) 561-5558

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1477207272
LBN Legal business name Evergreen Dermatology Llc
DBA Doing business as
Authorized official Fix, Lindsey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Jan 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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