BROADWAY MEDICAL CLINIC LLP is a primary care clinic center in Portland, OR. BROADWAY MEDICAL CLINIC LLP NPI is 1720082316. The provider is registered as an organization entity type.
The provider's business location address is:
4212 NE BROADWAY ST
PORTLAND, OR
ZIP 97213-460
Phone: (503) 249-8787
Fax: (503) 284-5168
The provider's authorized official is Candy S Chapman .
The authorized official title is Administrator and has the following contact phone number (503) 331-7650.
The CLIA number assigned to this NPI record is 38D0624011 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/10/2005 and was last updated on 7/21/2022.