MR. CHARLES L DARBY

Address: 4212 Ne Broadway St, Portland, OR 97213-1460
Phone: 5032498787

MR. CHARLES L DARBY (NPI# 1942376850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942376850
Entity Type 1 - Individual
Full Name MR. CHARLES L DARBY
Credential MD
Practice Address 4212 Ne Broadway St
Portland
OR 97213-1460
Practice Telephone 5032498787
Enumeration Date 11/24/2006
Last Update Date 10/28/2010
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD13251 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 10606-2 05

Office Location

Street Address 4212 NE BROADWAY ST
City PORTLAND
State OR
Zip Code 97213-1460

Providers with the same location

NPI Name Address
1720082316 BROADWAY MEDICAL CLINIC LLP 4212 Ne Broadway St, Portland, OR 97213-1460
1821087891 LUCY NUSRALA 4212 Ne Broadway St, Portland, OR 97213-1422
1891871356 KURT C KEMMERER 4212 Ne Broadway St, Portland, OR 97213-1460
1639258734 MS. CAROL ROGERS STAMPFER 4212 Ne Broadway St, Portland, OR 97213-1422
1538235437 MR. DENNIS D ASBY 4212 Ne Broadway St, Portland, OR 97213-1460
1902972813 MR. JOHN E BAUER 4212 Ne Broadway St, Portland, OR 97213-1460
1437225257 MS. JANIS L HOWATT 4212 Ne Broadway St, Portland, OR 97213-1460
1568539195 DOUGLAS E RENOUARD 4212 Ne Broadway St, Portland, OR 97213-1460
1013084573 LUIS A VALLS 4212 Ne Broadway St, Portland, OR 97213-1460
1558438028 HILARY R BASCO 4212 Ne Broadway St, Portland, OR 97213-1460

Competitor

Search similar physicians

City PORTLAND
Zip Code 97213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.