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Individual

DR. MERLE NYE BERRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2300 14TH AVE SE, ALBANY, OR 97322-6800
(541) 926-6077
(541) 926-0605
Mailing address
PO BOX 189, ALBANY, OR 97321-0058
(541) 926-6077
(541) 926-0605

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1264AT
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236109
OR
Enumeration date
03/15/2006
Last updated
03/07/2023
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