Berk, William Bert

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

Contact Information

Primary practice address
13180 Se 169Th Ave Ste 104 Happy Valley OR 97086
Phone: (503) 698-2375
Fax: (503) 698-3398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1623ATI Oregon

Profile Details

NPI number 1275630808
LBN Legal business name Berk, William Bert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
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 1275630808 NPPES
Other 1508037607 ORGANIZATION (GROUP) NPI
Other R0000WDBCW ORGANIZATION (GROUP) NPI

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