| Beloved Medical, Llc | |
|
25195 Sw Parkway Ave Ste 200 Wilsonville OR 97070-9689 | |
| (971) 419-3195 | |
| Not Available |
| Full Name | Beloved Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25195 Sw Parkway Ave Ste 200, Wilsonville, Oregon |
| Authorized Official Name and Position | Amber Perelgut (MANAGER) |
| Authorized Official Contact | 9714193195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloved Medical, Llc 11741 Sw Barcelona St Wilsonville OR 97070-7112 Ph: (971) 419-3195 | Beloved Medical, Llc 25195 Sw Parkway Ave Ste 200 Wilsonville OR 97070-9689 Ph: (971) 419-3195 |
| NPI Number | 1548960495 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 9436514882 |
|---|---|
| Medicare Enrollment ID | O20230508002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548960495 | NPI | - | NPPES |
| Provider Name | Adam S Perelgut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922460344 PECOS PAC ID: 5092005512 Enrollment ID: I20201127000085 |
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