DR. MARLON JOSEPH BROUSSARD PHARM D
NPI 1508145996
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Q: What is Marlon Broussard's NPI number?

The NPI number for Marlon Broussard is 1508145996. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Q: What is Marlon Broussard's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Marlon Broussard was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2011

501 N GRAHAM ST, PORTLAND, OR 97227(503) 413-4225(503) 413-4515 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Marlon Joseph Broussard Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLON JOSEPH BROUSSARD PHARM D (NPI 1508145996) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (11134) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1508145996

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameDR. MARLON JOSEPH BROUSSARDCredential: PHARM D

Location Address501 N GRAHAM STPortland, OR 97227-1654

Mailing Address501 N Graham StPortland, OR 97227-1654 · (503) 413-4225 · Fax (503) 413-4515

Phone(503) 413-4225

Fax(503) 413-4515

Sole ProprietorYes

Enumeration DateAugust 16, 2011

Last NPPES UpdateJanuary 22, 2016

✔ NPI 1508145996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in OR · 11134

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License RPH-0011134 (OR)

501 N GRAHAM ST, Portland, OR 97227

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES FRANCIS DEITLE PA-C

Physician Assistant

501 N GRAHAM ST, SUITE #580
PORTLAND, OR 97227

Multnomah County (503) 528-0704

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Prosthetic/Orthotic Supplier

501 N GRAHAM ST, STE 255
PORTLAND, OR 97227

Multnomah County (503) 288-9929

HELEN MONTIE MSN, APRN, CPNP-PC

Nurse Practitioner (Pediatrics)

501 N GRAHAM ST
PORTLAND, OR 97227

Multnomah County (503) 413-2200

DR. KARIN ANN SELVA MD

Pediatrics (Pediatric Endocrinology)

501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227

Multnomah County (503) 413-1600

SURGICAL CENTER, INC

Surgery

501 N GRAHAM ST, SUITE 555
PORTLAND, OR 97227

Multnomah County (503) 288-7535

EMANUEL CHILDREN'S DIABETES AND ENDOCRINE CENTER

Clinic/Center

501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227

Multnomah County (503) 413-1600

MRS. PATRICIA KREINBERG VROOMAN CPNP

Nurse Practitioner (Pediatrics)

501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227

Multnomah County (503) 413-2560

CYNTHIA ANN GINGALEWSKI MD

Surgery (Pediatric Surgery)

501 N GRAHAM ST, MOB 2 SUITE 300
PORTLAND, OR 97227

Multnomah County (503) 413-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlon Broussard's NPI number?

The NPI number for Marlon Broussard is 1508145996. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Marlon Broussard located?

Marlon Broussard practices at 501 N Graham St, Portland, OR 97227. The listed phone number is (503) 413-4225.

What is Marlon Broussard's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Marlon Broussard was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.