Organization
BELOVED MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DEONNA PERELGUT (CEO)
(971) 710-4511
Entity
Organization
Contact information
Practice address
25195 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9689
(971) 710-4511
Mailing address
25195 SW PARKWAY AVE STE 200, WILSONVILLE, OR 97070-9689
(971) 710-4511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/08/2023
Last updated
01/08/2026
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