| Mercy Gate Medical, P.c. | |
|
12050 Sw Champlin Ln Beaverton OR 97007-8600 | |
| (541) 908-2316 | |
| Not Available |
| Full Name | Mercy Gate Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12050 Sw Champlin Ln, Beaverton, Oregon |
| Authorized Official Name and Position | Aly Mohamed (CEO) |
| Authorized Official Contact | 5419082316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Gate Medical, P.c. 401 Ne 19th Ave Ste 200 Portland OR 97232-4800 Ph: () - | Mercy Gate Medical, P.c. 12050 Sw Champlin Ln Beaverton OR 97007-8600 Ph: (541) 908-2316 |
| NPI Number | 1619769593 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619769593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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