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Organization
MERCY GATE MEDICAL, P.C.
Active
Organization
MERCY GATE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALY MOHAMED MD (CEO)
(541) 908-2316
Entity
Organization
Contact information
Practice address
12050 SW CHAMPLIN LN, BEAVERTON, OR 97007-8600
(541) 908-2316
Mailing address
401 NE 19TH AVE STE 200, PORTLAND, OR 97232-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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