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Cedar Creek Internal Medicine,PC

Internal Medicine Physician in Portland, OR · enumerated 2006 · authorized official Bradley Fancher, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265517437

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Registry record

Entity type Organization (Type 2)
Legal business name Cedar Creek Internal Medicine,PC
Practice address 10200 Sw Eastridge St, Ste 205, Portland, OR, 97225
Phone (503) 280-4555
Fax (503) 280-4559
Enumeration date Oct 26, 2006
Last updated in NPPES Nov 13, 2012

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Bradley Fancher
Title President
Phone (503) 280-4555

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-11-13. Verify at npiregistry.cms.hhs.gov.
Where is Cedar Creek Internal Medicine,PC located?
The practice location on file with NPPES is in Portland, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-13.