Douglas E Renouard
BROADWAY MEDICAL CLINIC LLP


Address: 4212 Ne Broadway, Portland, OR 97213-1422
Phone: 5032498787

Douglas E Renouard (NPI# 1568539195, PAC ID# 1557315587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1568539195
PAC ID by PECOS 1557315587
Professional Enrollment ID I20090305000007
Full Name Douglas E Renouard
Organization Legal Name BROADWAY MEDICAL CLINIC LLP
Address 4212 Ne Broadway
Portland
OR 97213-1422
Phone Number 5032498787
Gender M
Medical School OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 2466447610
Number of Group Practice Members 18
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380061 PROVIDENCE PORTLAND MEDICAL CENTER
380004 PROVIDENCE ST VINCENT MEDICAL CENTER

Other Locations

Address Phone Organization
4212 Ne Broadway, Portland, OR 97213-1422 5032498787 BROADWAY MEDICAL CLINIC LLP

Organization Information

Organization Legal Name BROADWAY MEDICAL CLINIC LLP
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Marjorie J Hrbek Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Mary Lee Baker Pediatric Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Lorelei Elizabeth Ditommaso Dermatology Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Tracy L Hansen Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Anne M Hirsch Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Laurel L Simon Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Janis L Howatt Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Clytie S Rimberg Dermatology Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Dennis E Bley Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Katherine M Kilkenny Nurse Practitioner Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422

Office Location

Street Address 4212 NE BROADWAY
City PORTLAND
State OR
Zip 97213-1422

Physicians in the same location

Name Specialty Organization Address
Marjorie J Hrbek Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Mary Lee Baker Pediatric Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Lorelei Elizabeth Ditommaso Dermatology Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Tracy L Hansen Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Anne M Hirsch Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Laurel L Simon Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Janis L Howatt Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Clytie S Rimberg Dermatology Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Dennis E Bley Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Katherine M Kilkenny Nurse Practitioner Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
John R Lewis Optometry Beaumont Vision, PC 4331 Ne Fremont St, Portland, OR 97213-1151
David M Klipper Diagnostic Radiology Kern Radiology Medical Group Inc 4231 Ne Siskiyou St, Portland, OR 97213-1161
Evonne N Serpa Qualified Audiologist 4311 Ne Tillamook St, Portland, OR 97213-1315
Judith J Chambers Clinical Social Worker 1804 Ne 45th Ave, Portland, OR 97213-1416
Diane Squire Hyde Clinical Social Worker 1804 Ne 45th Ave, Portland, OR 97213-1416
Jaya R Madhav Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Michael Grandfield Mazzotta Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Charles M Wood Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
John E Bauer Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Charles L Darby Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Find all physicians in zip 97213

Competitor

Search similar physicians

City PORTLAND
Zip Code 97213
Specialty INTERNAL MEDICINE
City + Specialty PORTLAND + INTERNAL MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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