Individual
TARA MARIE GOECKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
929 SW SIMPSON AVE STE 250, BEND, OR 97702-3599
(541) 585-0505
(541) 585-0404
Mailing address
PO BOX 6387, BEND, OR 97708-6387
(541) 585-0505
(541) 585-0404
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
61938
CO
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD216464
OR
Other
Enumeration date
06/27/2011
Last updated
03/20/2024
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