Organization
OREGON ADULT MEDICINE PC
Active
Other names
Oregon Adult Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIYAD FARES MD (PRESIDENT)
(503) 405-3042
Entity
Organization
Contact information
Practice address
2330 NW FLANDERS ST STE 201, PORTLAND, OR 97210-3460
(503) 405-3042
(503) 717-9969
Mailing address
2330 NW FLANDERS ST STE 201, PORTLAND, OR 97210-3460
(503) 405-3042
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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