EVERGREEN DERMATOLOGY LLC
NPI 1477207272
Dermatology in Springfield, OR

Active since February 10, 2022
21 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477(541) 600-2017 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2023, Feb 10, 2022 (2 updates tracked since 2022).

About Evergreen Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN DERMATOLOGY LLC (NPI 1477207272) is a healthcare organization registered as a dermatology in Springfield, Oregon and active in the NPI registry since February 2022. The organization lists Lindsey Fix, Physician, as its authorized official.

NPPES Registry Identity

NPI1477207272
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEVERGREEN DERMATOLOGY LLC
Location Address21 HAYDEN BRIDGE WAYSpringfield, OR 97477-1305
Mailing Address21 Hayden Bridge WaySpringfield, OR 97477-1305 · (541) 600-2017
Organization SubpartNo
Authorized OfficialLindsey FixPhysician · (252) 561-5558
Enumeration DateFebruary 10, 2022
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1477207272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
21 HAYDEN BRIDGE WAY, Springfield, OR 97477

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 38D0627518

Evergreen Dermatology LLC · Springfield, OR
Expired · Jul 22, 2026
CLIA Number38D0627518
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2024
Certificate Expiration DateJuly 22, 2026
Laboratory DirectorLindsey N. Fix
Laboratory Phone(541) 600-2017
Laboratory LocationEvergreen Dermatology LLC21 Hayden Bridge Way, Springfield, OR 97477
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Dermatology
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Dermatology
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Physician Assistant (Medical)
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Physician Assistant
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Family Medicine
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Family Medicine
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477
Dermatology (MOHS-Micrographic Surgery)
21 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 97477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Dermatology LLC's NPI number?

The NPI number for Evergreen Dermatology LLC is 1477207272. It was assigned to this organization in the NPPES registry on February 10, 2022.

Where is Evergreen Dermatology LLC located?

Evergreen Dermatology LLC is located at 21 Hayden Bridge Way, Springfield, OR 97477. The listed phone number is (541) 600-2017.

What is Evergreen Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Evergreen Dermatology LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Evergreen Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Dermatology LLC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.