Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gwendolyn Rose Derk

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811639404

Gwendolyn Rose Derk is a Hospitalist in Portland, Oregon. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2022, 4 years ago. Practices with Tuality Medical Group LLC, a 289-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
In the registry since
2022
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 681-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811639404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2022 (4 years in practice)
Group practice Tuality Medical Group Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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