# BELOVED MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548960495
- **Authorized official:** AMBER DEONNA PERELGUT (CEO)
- **Authorized official phone:** (971) 710-4511

## Contact information

- **Practice address:** 25195 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9689
- **Practice address phone:** (971) 710-4511
- **Mailing address:** 25195 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9689
- **Mailing address phone:** (971) 710-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/08/2023
- **Last updated:** 01/08/2026
