PORTLAND MEDICAL
NPI 1679230510
Clinic/Center - Primary Care in Portland, TN

Active since November 28, 2021
307 S BROADWAY ST, PORTLAND, TN 37148(615) 325-6755 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portland Medical NPPES

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

PORTLAND MEDICAL (NPI 1679230510) is a healthcare organization registered as a primary care in Portland, Tennessee and active in the NPI registry since November 2021. The organization lists Lisa Marie Nazarenus, Apn, as its authorized official.

NPPES Registry Identity

NPI1679230510
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePORTLAND MEDICAL
Location Address307 S BROADWAY STPortland, TN 37148-1413
Mailing Address106 Pires LnPortland, TN 37148-4900
Organization SubpartNo
Authorized OfficialLisa Marie NazarenusApn · (615) 804-9470
Enumeration DateNovember 28, 2021
NPPES CertifiedNovember 28, 2021
NPI 1679230510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
307 S BROADWAY ST, Portland, TN 37148

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Family Medicine
307 S BROADWAY ST
PORTLAND, TN 37148
Family Medicine
307 S BROADWAY ST
PORTLAND, TN 37148

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 Portland Medical's NPI number?

The NPI number for Portland Medical is 1679230510. It was assigned to this organization in the NPPES registry on November 28, 2021.

Where is Portland Medical located?

Portland Medical is located at 307 S Broadway St, Portland, TN 37148. The listed phone number is (615) 325-6755.

What is Portland Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Portland Medical accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Portland Medical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Medical was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.