Individual
GARY RYAN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 SE NORTON LN, SUITE A, MCMINNVILLE, OR 97128-8479
(503) 472-4688
Mailing address
235 SE NORTON LN, SUITE A, MCMINNVILLE, OR 97128-8479
(503) 472-4688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD29442
OR
390200000X
Student in an Organized Health Care Education/Training Program
TL-2216
CO
Other
Enumeration date
01/30/2007
Last updated
07/07/2009
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