Organization Active NPI

Oregon Adult Medicine PC

Doing business as Oregon Adult Medicine Pharmacy

  • Clinic Pharmacy
  • Portland, OR
National Provider Identifier
1295370377
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
OREGON ADULT MEDICINE PC
Doing business as
Oregon Adult Medicine Pharmacy
Practice address
2330 NW Flanders St Ste 201
Portland, OR 97210-3460
Phone
(503) 405-3042
Fax
(503) 717-9969
NPI assigned
Nov 12, 2019
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Dr. Riyad Fares, MDNPI 1841339108
Title
President
Phone
(503) 405-3042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

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

Mailing address

2330 NW Flanders St Ste 201
Portland, OR 97210-3460
Phone (503) 405-3042

Other names 1

  • Oregon Adult Medicine Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1295370377",
    "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": "503-405-3042"
        },
        {
            "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": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "RIYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-405-3042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Adult Medicine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.