Berk, Anne Elizabeth

Berk, Anne Elizabeth is an individual health care provider with primary practice located at 13180 Se 169Th Ave Ste 104 , Happy Valley OR 97086-8727. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Berk, Anne Elizabeth can be contacted via phone (503) 698-2375.

Contact Information

Primary practice address
13180 Se 169Th Ave Ste 104 Happy Valley OR 97086-8727
Phone: (503) 698-2375
Fax: (503) 698-3398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1749ATI Oregon

Profile Details

NPI number 1609920701
LBN Legal business name Berk, Anne Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609920701 NPPES
Oregon Other 1749ATI OD LICENSE NUMBER
Oregon MEDICAID 120345 OD LICENSE NUMBER
Oregon Other 1508037607 OD LICENSE NUMBER
Oregon Other R0000WDBCW OD LICENSE NUMBER

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