# MCMINNVILLE EYE CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992819445
- **Authorized official:** DR. GARY RYAN BERGER MD (PHYSICIAN OWNER)
- **Authorized official phone:** (503) 472-4688

## Contact information

- **Practice address:** 2445 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
- **Practice address phone:** (503) 472-4688
- **Mailing address:** 235 SE NORTON LN STE A, MCMINNVILLE, OR 97128-8479
- **Mailing address phone:** (503) 472-4688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 12/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 227638 | — | OR |