OrganizationActive
Broadway Medical Clinic LLP
NPI 1720082316 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1720082316
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Bardfield, Executive Director(503) 331-7610
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4212 Ne Broadway
Portland, OR 97213-1422
Phone: (503) 249-8787
Fax: (503) 284-5168
Approximate (ZIP-level) locationGet directions
Mailing address
4212 Ne Broadway St
Portland, OR 97213-1460
Registry dates
- Enumerated
- 2005-06-10
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.