Individual
CHRISTOPHER M BERBERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S HAZEL DELL WAY, CANBY, OR 97013-7829
(503) 263-9500
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00047078
WA
207Q00000X
Family Medicine Physician
25MA08378200
NJ
207Q00000X
Family Medicine Physician
MD00047078
WA
207Q00000X
Family Medicine Physician
MD2018-0953
NM
207Q00000X
Family Medicine Physician
Primary
MD27035
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006199
—
OR
05
—
8516221
—
WA
01
—
P00677066
RR MEDICARE - PROVIDENCE
OR
Enumeration date
07/06/2007
Last updated
02/05/2021
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