Dr. Glen I. Berry , DC
Chiropractor • Beaverton, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glen Berry has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Glen Berry, DC was a registered Chiropractor practicing in Beaverton, OR. Throughout an active medical career spanning 12 years, Dr. Berry provided care at the practice location at 4270 SW CEDAR HILLS BLVD until profile deactivation on 2023-08-02.
Practice Location & Contact Primary Location
4270 Sw Cedar Hills Blvd
Beaverton, OR 970052029
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Beaverton, OR
Practicing in Beaverton, OR (1950 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 02, 2023
NPI status registered as active in NPPES database
Registered at 4270 SW CEDAR HILLS BLVD, BEAVERTON, OR 970052029 (Tel: 5035263880)
Registered at 4270 SW CEDAR HILLS BLVD, BEAVERTON, OR 970052029 (Tel: 5035263880)
Recorded as GLEN BERRY, D.C.
Chiropractor (License #651486 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4270 Sw Cedar Hills Blvd
Beaverton, OR 970052029
Phone: 5035263880
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