BROADWAY MEDICAL CLINIC LLP


Address: 4212 Ne Broadway St, Portland, OR 97213-1460
Phone: 5032498787

BROADWAY MEDICAL CLINIC LLP (NPI# 1720082316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720082316
Entity Type Organization
Organization Name BROADWAY MEDICAL CLINIC LLP
Practice Address 4212 Ne Broadway St
Portland
OR 97213-1460
Practice Telephone 5032498787
Practice Fax Number 5032845168
Mailing Telephone 5032498787
Mailing Fax Number 5032845168
Enumeration Date 2005-06-10
Last Update Date 2020-02-12
Authorized Official Name CANDY S CHAPMAN (ADMINISTRATOR)
Authorized Official Telephone 5033317650
Authorized Official Credential CMPE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
========= OR Ambulatory Health Care Facilities

Office Location

Street Address 4212 NE BROADWAY ST
City PORTLAND
State OR
Zip Code 97213-1460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841427572 Michael Mazzotta Internal Medicine 4212 Ne Broadway St, Medical Staff Svcs, Portland, OR 97213-1422 2009-06-21
1487896403 Emily Wasser Puterbaugh Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1422 2009-04-06
1629275508 Melissa Ann Hahn Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1422 2007-07-02
1306964911 Patricia Sandstrom Burke Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1422 2007-03-26
1164563185 Susan Frances Calvert Pharmacist 4212 Ne Broadway St, Portland, OR 97213-1460 2007-02-11
1073670832 Mary Baker Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1460 2007-01-02
1902961907 Charles M Wood Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1422 2006-12-27
1407916513 Anne M Hirsch Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1460 2006-12-11
1568539195 Douglas E Renouard Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1460 2006-11-29
1013084573 Luis A Valls Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1460 2006-11-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
Find all providers in zip 97213

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104447895 Beyond Health LLC Clinic/Center 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 2020-05-04
1831757475 Structural Solutions Chiropractic Clinic/Center 121 Nw Everett St, Portland, OR 97209-4049 2019-05-29
1033674841 Jeremy Mikolai Nd Inc Clinic/Center 2540 Ne M L King Blvd, Portland, OR 97212-3732 2019-02-06
1326531666 Working Class Medicine LLC Clinic/Center 2133 N. Willis Blvd, Studio D, Portland, OR 97217 2018-06-12
1023511698 Housecall Md LLC Clinic/Center 3715 Sw Marquam Hill Rd, Portland, OR 97239-1454 2018-03-09
1053859959 Vera Whole Health Clinic/Center 400 Sw 6th Ave, Suite 915, Portland, OR 97204-1628 2017-02-10
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
1154725224 Thriving Force, LLC Clinic/Center 4426 Ne 35th Ave, Portland, OR 97211-7735 2014-10-17
1679981070 Roots Health Clinic LLC Clinic/Center 330 Ne 102nd Ave, Portland, OR 97220-4107 2014-07-29
1558792309 North By Northeast Community Health Center Clinic/Center 3030 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 2013-12-04
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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