Charles L Darby Internal Medicine
4212 Ne Broadway St, Portland, OR 97213-1422


Charles L Darby is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1942376850. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0547214579. The primary specialty is INTERNAL MEDICINE. The organization is BROADWAY MEDICAL CLINIC LLP. The address is 4212 Ne Broadway St, Portland, OR 97213-1422. The zip code is 97213.


Charles L Darby · 4212 Ne Broadway St, Portland, OR 97213-1422

Nation Provider ID 1942376850
PAC ID by PECOS 0547214579
Professional Enrollment ID I20101201001179
Last Name DARBY
First Name CHARLES
Middle Name L
Gender M
Medical School Name BAYLOR COLLEGE OF MEDICINE
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Primary Specialty BROADWAY MEDICAL CLINIC LLP
Phone Number 5032498787
Group Practice PAC ID 2466447610
Number of Group Practice Members 12
Address 4212 NE BROADWAY ST
PORTLAND, OR 972131422
Claims Based Hospital Affiliation Claim Control Number (CCN): 380061
Legal Business Name: PROVIDENCE PORTLAND MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Broadway Medical Clinic LLP · Medicare Physician

Name Address Specialty
Michael Mazzotta 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Douglas Renouard 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Clytie Rimberg 4212 Ne Broadway St, Portland, OR 97213-1422 DERMATOLOGY
John Bauer 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Luis Valls 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Laurel Simon 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Janis Howatt 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Charles Wood 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Marjorie Hrbek 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Dennis Bley 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Anne Hirsch 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE

Zip 97213 · Internal Medicine · Medicare Physician

Name Address Specialty
Marian Hodges 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Kimberly Herder 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Margaret Smithpeter 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Deborah Frost 4900 Ne Glisan St, Portland, OR 97213-2936 INTERNAL MEDICINE
Joseph Kim 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Mark Rosenberg 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Michael Mazzotta 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Brinton Clark 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Robin Rinehart 6410 Ne Halsey St, Portland, OR 97213-4759 INTERNAL MEDICINE
Marsha Ware 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Caroline Reay 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Marjorie Hrbek 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Cynthia Chan Lazzara 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
James Martinson 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Kevin Sellars 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Anna Beitin 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Wendy Laborie 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Tricia James 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Luis Valls 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Anne Hirsch 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE

Zip 97213 · Medicare Physician

Name Address Specialty
Ronald Petersen 5050 Ne Hoyt, Portland, OR 97213-2984 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Jackson Smood 4805 Neglisan St, Portland, OR 97213-2933 EMERGENCY MEDICINE
Judith Chambers 1804 Ne 45th Ave, Portland, OR 97213-1416 CLINICAL SOCIAL WORKER
Evonne Serpa 4311 Ne Tillamook St, Portland, OR 97213-1315 AUDIOLOGIST
Matthew Mcclelland 5050 Ne Hoyt, Portland, OR 97213-2984 DERMATOLOGY
Paul Hansen 4805 Ne Glisan, Portland, OR 97213-2933 GENERAL SURGERY
Andrew Rontal 5050 Ne Hoyt, Portland, OR 97213-2984 NEUROLOGY
Shelley Denison 6410 Ne Halsey St, Portland, OR 97213-4759 NURSE PRACTITIONER
Stephen Hiroshige 4805 Ne Glisan St, Portland, OR 97213-2933 ANESTHESIOLOGY
Jeremy Krueger 4805 Ne Glisan St, Portland, OR 97213-2933 HOSPITALIST
Ronald Dworkin 5050 Ne Hoyt St, Portland, OR 97213-2984 INFECTIOUS DISEASE
Amy Gerhard 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Davis Cho 7033 Ne Sandy Blvd, Portland, OR 97213-5277 FAMILY PRACTICE
Jamie Caulley 5050 Ne Hoyt St, Portland, OR 97213-2982 PHYSICAL THERAPY
Michael Goldstein 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Christie Moore 5050 Ne Hoyt, Portland, OR 97213-2984 MEDICAL ONCOLOGY
Kristina Rashid 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Maryann Ogden 4805 Ne Glisan St, Portland, OR 97213-2933 HOSPITALIST
Carl Vegas 4805 Ne Glisan St, Portland, OR 97213-2933 DIAGNOSTIC RADIOLOGY
Kimberly Herder 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE