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Fanno Creek Clinic represents an unusual case in the EMR/EHR vendor landscape. The organization is primarily a medical group practice located in Portland, Oregon, specializing in internal medicine and cardiology with over 30 physicians. However, the clinic also developed its own ambulatory EMR system, originally known as FannoTek EMR, which was created by physicians, nurses, and support staff at Fanno Creek Clinic working alongside software developers. According to government data, Fanno Creek C