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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROADWAY FOOT & ANKLE CLINIC, PC

Active Organization

BROADWAY FOOT & ANKLE CLINIC, PC is a Foot & Ankle Surgery Podiatrist organization located in PORTLAND, Oregon. NPI 1457498438 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · PORTLAND, OR

Registration Details

NPI Number
1457498438
Provider Type
Organization
NPI Issued
Jan 31, 2007 (19.544266086615 yrs)
Last Updated
Aug 7, 2009
Licenses
DP00315 (OR)
DP00244 (OR)
DP00179 (OR)

Practice Information

Address
3508 NE BROADWAY ST
PORTLAND, OR, 972321821
Browse OR providers · Browse ZIP 97232
Phone
5032828777
Fax
5032828853
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.