Organization
GO GENTLY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA E FEDJUR (NATIONAL DIR OF PAYER CONTRACTS)
(801) 325-6181
Entity
Organization
Contact information
Practice address
10365 SE SUNNYSIDE RD STE 340, CLACKAMAS, OR 97015-5751
(503) 698-9811
(503) 698-8988
Mailing address
10365 SE SUNNYSIDE RD STE 340, CLACKAMAS, OR 97015-5751
(503) 698-9811
(503) 698-8988
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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