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Organization
BLUE CEDAR MEDICAL PC
Active
Organization
BLUE CEDAR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIYAD A FARES M.D. (PRESIDENT)
(503) 446-1965
Entity
Organization
Contact information
Practice address
2311 NW NORTHRUP ST STE 209, PORTLAND, OR 97210-2955
(503) 446-1965
(503) 447-2760
Mailing address
2311 NW NORTHRUP ST STE 209, PORTLAND, OR 97210-2955
(503) 446-1965
(503) 447-2760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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