Cedar Creek Internal Medicine,pc
NPI 1265517437 · Internal Medicine Physician · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cedar Creek Internal Medicine,pc is a Internal Medicine Physician organization in Portland, OR (NPI 1265517437).
Provider details
- NPI number
- 1265517437
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Fancher, President(503) 280-4555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2012-11-13
Frequently asked questions
- What is Cedar Creek Internal Medicine,pc's NPI number?
- Cedar Creek Internal Medicine,pc's National Provider Identifier (NPI) is 1265517437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Creek Internal Medicine,pc?
- Cedar Creek Internal Medicine,pc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cedar Creek Internal Medicine,pc located?
- Cedar Creek Internal Medicine,pc's practice location on file with NPPES is 10200 Sw Eastridge St, Portland, OR 97225-5064.
- What is Cedar Creek Internal Medicine,pc's phone number?
- The practice phone number listed in the NPPES registry for Cedar Creek Internal Medicine,pc is (503) 280-4555.
- Does Cedar Creek Internal Medicine,pc accept Medicare?
- Cedar Creek Internal Medicine,pc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cedar Creek Internal Medicine,pc?
- The authorized official listed on Cedar Creek Internal Medicine,pc's NPPES record is Bradley Fancher, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Creek Internal Medicine,pc's NPI active?
- Yes — Cedar Creek Internal Medicine,pc's NPI (1265517437) is active in the NPPES registry as of the last update on 2012-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.