Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broadway Clinic Inc

Organization Family Medicine Physician · NPI 1548370547

Broadway Clinic Inc is a Family Medicine Physician in Aberdeen, Washington. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 W 4th St Ste # 105
Aberdeen, WA 98520-3932
Phone: (360) 538-7292
Fax: (360) 533-2566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1548370547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Johnson — Family Medicine Phyician Ceo Broawa · (360) 538-7292
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 149, Aberdeen, WA 98520-0063

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