Organization
RETINA CLINIC OF THE CASCADES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P BERREEN MD (OWNER)
(541) 693-5050
Entity
Organization
Contact information
Practice address
2275 NE DOCTORS DR, STE 2, BEND, OR 97701-6324
(541) 693-5050
(541) 693-5051
Mailing address
2275 NE DOCTORS DR, STE 2, BEND, OR 97701-6324
(541) 693-5050
(541) 693-5051
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD22414
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269804
—
OR
Enumeration date
11/02/2005
Last updated
11/21/2008
Update your record
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