Provider Demographics
NPI:1154536191
Name:BERK, MEHMET CAGLAR (MD)
Entity type:Individual
Prefix:
First Name:MEHMET
Middle Name:CAGLAR
Last Name:BERK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6485 SW BORLAND RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97062
Mailing Address - Country:US
Mailing Address - Phone:503-482-5671
Mailing Address - Fax:503-482-5764
Practice Address - Street 1:6485 SW BORLAND RD
Practice Address - Street 2:SUITE G
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97062
Practice Address - Country:US
Practice Address - Phone:503-482-5671
Practice Address - Fax:503-482-5764
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD157718208000000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No208000000XAllopathic & Osteopathic PhysiciansPediatrics