| Doctor Name: | DR. ROBERT JAMES BERECZ |
| NPI Number: | 1518938851 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD,FACS,PC |
| License Number: | MD09067 |
| Business Practice Address: | 600 Nw 11th St Suite 33 Hermiston, OR - 978388605 |
| Business Phone Number: | 5412896575 |
| Business Fax Number: | 5412896577 |
| Mailing Address: | 600 Nw 11th St, Suite 33 HERMISTON |
| State: | OR |
| Postal Code: | 978388605 |
| Phone Number: | 5412896575 |
| Fax Number: | 5412896577 |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD09067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |