Oregon Adult Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OREGON ADULT MEDICINE PC

Practice address

2330 NW Flanders St Ste 201
Portland, OR 97210-3460

Phone

(503) 405-3042

Fax

(503) 717-9969

NPI assigned

Jul 30, 2019

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Riyad Fares, MD

Title

Owner

Phone

(503) 405-3042

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Simon Joseph Madorsky, M.D.

  • Otolaryngology Physician
  • Newport Beach, CA
  • NPI 1447259981
  NPD (past)
• Anthony Stauffer, MD

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1083695720
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1073167730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103460",
            "telephone_number": "714-571-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103460",
            "telephone_number": "503-405-3042",
            "fax_number": "503-717-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ADULT MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "RIYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-405-3042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Oriana Orcutt, MSW
• Mary Ordonez-Korn
• Sulay Ordovas, RN
• Celia Idalia Orduna, DOULA
• Emma Claire Ordway, PA-C
• Oregon Adult Medicine PC (Oregon Adult Medicine Pharmacy)
• Oregon Anesthesia Associates LLC
• Oregon Anesthesiology Group PC
• Oregon Artificial Limb Co.
• Oregon Autism Care LLC

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.