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Contact Information

ALICE BERRY, L.E.
1500 NW BETHANY BLVD
SUITE 200
BEAVERTON, OR97006-5208
 Phone: 503-597-1323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for ALICE BERRY · (Female)

NPI Number 1508221227
Status Active
Credentials L.E.
Entity Individual
Enumeration date 12/22/2015
Last updated 12/22/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # BAP-E-10167109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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