CEDAR CREEK INTERNAL MEDICINE,PC

PORTLAND, OR
NPI1265517437
Entity TypeOrganization
Authorized ContactBRADLEY J FANCHER
President
503-280-4555
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-10-26
Last Update Date2012-11-13
Business Address
CEDAR CREEK INTERNAL MEDICINE,PC
10200 SW EASTRIDGE ST STE 205
PORTLAND, OR 97225-5064
Phone number: 503-280-4555
Mailing Address
CEDAR CREEK INTERNAL MEDICINE,PC
10200 SW EASTRIDGE ST STE 205
PORTLAND, OR 97225-5064
Phone number: 503-280-4555