Organization · Type 2 NPI

Broadway Medical Clinic LLP

Primary Care Clinic/Center · Portland, OR

NPI number 1720082316 Active

Practice location

4212 NE Broadway
Portland, OR 97213-1422

Fax (503) 284-5168

Mailing address

4212 NE Broadway St
Portland, OR 97213-1460

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

25 other providers at this address

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About NPI 1720082316

Broadway Medical Clinic LLP's National Provider Identifier is 1720082316, issued on Jun 10, 2005. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Nov 19, 2024.