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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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