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

Zip 97213 · Internal Medicine · Medicare Physician

Name Address Specialty
Mari Kai 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Dennis Bley 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Muhammad Batla 7033 Ne Sandy Blvd, Portland, OR 97213-5277 INTERNAL MEDICINE
Douglas Renouard 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Laurel Simon 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Anna Beitin 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Richard Tsai 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Cristina De Castro-dela Cruz 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Porfirio Pena 4805 Neglisan St, Portland, OR 97213-2933 INTERNAL MEDICINE
Marian Hodges 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
James Kern 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Sean Friend 5635 Ne Alameda, Portland, OR 97213-3490 INTERNAL MEDICINE
Richard Goldenberg 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Margaret Smithpeter 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Craig Riley 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Luis Valls 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Janis Howatt 4212 Ne Broadway St, Portland, OR 97213-1422 INTERNAL MEDICINE
Michael Carroll 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Magdalena Kasprowska 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Tricia James 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE

Zip 97213 · Medicare Physician

Name Address Specialty
Fawn Tran 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Patricia Truhn 5050 Ne Hoyt St, Portland, OR 97213-2984 NURSE PRACTITIONER
Kelli Harrington-bollenbaugh 5050 Ne Hoyt, Portland, OR 97213-2984 SPEECH LANGUAGE PATHOLOGIST
Rachel Sanborn 5050 Ne Hoyt, Portland, OR 97213-2984 MEDICAL ONCOLOGY
Ronald Petersen 5050 Ne Hoyt, Portland, OR 97213-2984 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Emily Puukka Clark 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Lauren Hojnacki 5050 Ne Hoyt, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Sarah Lipton 5050 Ne Hoyt St, Portland, OR 97213-2956 RHEUMATOLOGY
Brian Drake 5050 Ne Hoyt, Portland, OR 97213-2984 OBSTETRICS/GYNECOLOGY
Sarah Rogers 5050 Ne Hoyt St, Portland, OR 97213-2991 DIAGNOSTIC RADIOLOGY
Olubanke Babalola 5050 Ne Hoyt St, Portland, OR 97213-2984 NURSE PRACTITIONER
Heather Tonga 5050 Ne Hoyt, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Mary Turner 5251 Ne Glisan St Bl A, Portland, OR 97213-3052 PSYCHIATRY
Amit Kansara 4805 Neglisan St, Portland, OR 97213-2933 NEUROLOGY
Patrick Lew 5050 Ne Hoyt St, Portland, OR 97213-2984 HOSPITALIST
Robert Hodson 5050 Ne Hoyt, Portland, OR 97213-2984 INTERVENTIONAL CARDIOLOGY
Robert Hudon 4805 Ne Glisan St, Portland, OR 97213-2933 HOSPITALIST
Stanley Cyran 5330 Ne Glisan, Portland, OR 97213-3069 DERMATOLOGY
Myles Standish 4805 Ne Glisan St, Portland, OR 97213-2933 ANESTHESIOLOGY
Katrina Pinkerton 4805 Ne Glisan St, Portland, OR 97213-2933 NURSE PRACTITIONER