Organization
MCMINNVILLE EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RYAN BERGER MD (PHYSICIAN OWNER)
(503) 472-4688
Entity
Organization
Contact information
Practice address
2445 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-4688
Mailing address
235 SE NORTON LN STE A, MCMINNVILLE, OR 97128-8479
(503) 472-4688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227638
—
OR
Enumeration date
08/19/2006
Last updated
12/01/2021
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