Broadway Foot Clinic

LBN: Broadway Foot & Ankle Clinic, Pc
Broadway Foot Clinic is an health care organization with primary practice located at 3508 Ne Broadway St , Portland OR 97232-1821. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Broadway Foot & Ankle Clinic, Pc can be contacted via phone (503) 282-8777, or through Michael, Elliot via phone (503) 648-2200.

Contact Information

Primary practice address
3508 Ne Broadway St Portland OR 97232-1821
Phone: (503) 282-8777
Fax: (503) 282-8853
Website:
Map and Directions
Authorized official contact:
Name: Michael, Elliot Doctor of Podiatric Medicine (DPM)
Phone: (503) 648-2200

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00179 Oregon
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00315 Oregon
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00244 Oregon

Profile Details

NPI number 1457498438
LBN Legal business name Broadway Foot & Ankle Clinic, Pc
DBA Doing business as Broadway Foot Clinic
Authorized official Michael, Elliot Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 7th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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