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1265517437
CEDAR CREEK INTERNAL MEDICINE,PC
PORTLAND, OR
NPI
1265517437
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Entity Type
Organization
Authorized Contact
BRADLEY J FANCHER
President
503-280-4555
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-10-26
Last Update Date
2012-11-13
Business Address
CEDAR CREEK INTERNAL MEDICINE,PC
10200 SW EASTRIDGE ST STE 205
PORTLAND, OR 97225-5064
Phone number: 503-280-4555
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Mailing Address
CEDAR CREEK INTERNAL MEDICINE,PC
10200 SW EASTRIDGE ST STE 205
PORTLAND, OR 97225-5064
Phone number: 503-280-4555
Copy
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