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BROADWAY MEDICAL CLINIC LLP
NPI 1720082316
Clinic/Center - Primary Care in Portland, OR

Active since June 10, 2005
4212 NE BROADWAY, PORTLAND, OR 97213(503) 249-8787(503) 284-5168 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Jul 21, 2022, Feb 12, 2020 and 1 more (4 updates tracked since 2017).

About Broadway Medical Clinic Llp NPPES

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

BROADWAY MEDICAL CLINIC LLP (NPI 1720082316) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since June 2005. The organization lists Heather L Bardfield, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720082316
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBROADWAY MEDICAL CLINIC LLP
Location Address4212 NE BROADWAYPortland, OR 97213-1422
Mailing Address4212 Ne Broadway StPortland, OR 97213-1460 · (503) 249-8787 · Fax (503) 284-5168
Phone(503) 249-8787
Fax(503) 284-5168
Organization SubpartNo
Authorized OfficialHeather L BardfieldExecutive Director · (503) 331-7610
Enumeration DateJune 10, 2005
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1720082316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4212 NE BROADWAY, Portland, OR 97213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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.

GEORGE W BENGTSON MD
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
MRS. MARJORIE J HRBEK MD
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
DR. MEREDITH ELAINE GROVER MD
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
DR. TRACY HANSEN M.D.
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
MS. JANIS L HOWATT MD
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
JUNE M DESIMONE MD
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
HILARY R BASCO MD
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787
DOUGLAS E RENOUARD MD
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Multnomah County (503) 249-8787

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 Broadway Medical Clinic LLP's NPI number?

The NPI number for Broadway Medical Clinic LLP is 1720082316. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Broadway Medical Clinic LLP located?

Broadway Medical Clinic LLP is located at 4212 NE Broadway, Portland, OR 97213. The listed phone number is (503) 249-8787.

What is Broadway Medical Clinic LLP's specialty?

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

What insurance does Broadway Medical Clinic LLP accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Broadway Medical Clinic LLP 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 Broadway Medical Clinic LLP was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.