EVERGREEN FAMILY MEDICINE, PC
NPI 1568434025
Family Medicine in Roseburg, OR

NPI Status: Active since February 07, 2006

Contact Information

1937 W HARVARD AVE
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-7200
Fax: (541) 229-3309

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Accepts Insurance

About EVERGREEN FAMILY MEDICINE, PC

This page provides the complete NPI Profile along with additional information for Evergreen Family Medicine, Pc, a primary care provider established in Roseburg, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1568434025 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Mrs. Kimberly Tyree (Coo)

NPI
1568434025
Provider Legal Name
EVERGREEN FAMILY MEDICINE, PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1937 W HARVARD AVE ROSEBURG, OR 97471
Location Phone
(541) 677-7200
Location Fax
(541) 229-3309
Mailing Address
2570 NW EDENBOWER BLVD STE 100 ROSEBURG, OR 97471
Mailing Phone
(541) 677-7200
Mailing Fax
(541) 229-3309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2006
Last Update Date
03-24-2026
Code Navigator

A primary care provider (PCP) like Evergreen Family Medicine, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 
3291U00000XLaboratories

Clinical Medical Laboratory

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KIMBERLY TYREE

Authorized Official Title
COO
Authorized Official Phone
(541) 229-3332

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
J8799-01OTHER (01)ORGROUP PACIFIC SOURCE
213560MEDICAID (05)OR 
610550200OTHER (01)ORGROUP OWCP
845023000OTHER (01)ORGROUP BLUE CROSS

Reviews for EVERGREEN FAMILY MEDICINE, PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568434025, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 8 + 3 + 8 + 0 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1568434025.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
1937 W HARVARD AVE
ROSEBURG, OR 97471
Clinic/Center (Rural Health)
1937 W HARVARD AVE
ROSEBURG, OR 97471
Family Medicine
1937 W HARVARD AVE
ROSEBURG, OR 97471
Internal Medicine
1937 W HARVARD AVE
ROSEBURG, OR 97471
Pediatrics
1937 W HARVARD AVE
ROSEBURG, OR 97471
Obstetrics & Gynecology
1937 W HARVARD AVE
ROSEBURG, OR 97471
Physician Assistant (Medical)
1937 W HARVARD AVE
ROSEBURG, OR 97471
Obstetrics & Gynecology
1937 W HARVARD AVE
ROSEBURG, OR 97471
Advanced Practice Midwife
1937 W HARVARD AVE
ROSEBURG, OR 97471
Internal Medicine
1937 W HARVARD AVE
ROSEBURG, OR 97471
Family Medicine
1937 W HARVARD AVE
ROSEBURG, OR 97471
Family Medicine
1937 W HARVARD AVE
ROSEBURG, OR 97471
Community Health Worker
1937 W HARVARD AVE
ROSEBURG, OR 97471
Advanced Practice Midwife
1937 W HARVARD AVE
ROSEBURG, OR 97471
Community Health Worker
1937 W HARVARD AVE
ROSEBURG, OR 97471
Community Health Worker
1937 W HARVARD AVE
ROSEBURG, OR 97471
Obstetrics & Gynecology
1937 W HARVARD AVE
ROSEBURG, OR 97471
Counselor (Professional)
1937 W HARVARD AVE
ROSEBURG, OR 97471
Counselor (Professional)
1937 W HARVARD AVE
ROSEBURG, OR 97471
Family Medicine
1937 W HARVARD AVE
ROSEBURG, OR 97471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568434025, enumerated as an "organization" on February 07, 2006.

The provider is located at 1937 W HARVARD AVE ROSEBURG, OR 97471 and the phone number is (541) 677-7200.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to verify.