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

Broadway Foot & Ankle Clinic, PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1457498438

Broadway Foot & Ankle Clinic, PC is a Foot & Ankle Surgery Podiatrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3508 NE Broadway St
Portland, OR 97232-1821
Phone: (503) 282-8777
Fax: (503) 282-8853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00179 (OR)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence DP00315 (OR)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence DP00244 (OR)

Record details

NPI number1457498438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elliot Michael — Dpm · (503) 648-2200
Other names Broadway Foot Clinic
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 7, 2009
Mailing address3508 Ne Broadway St, Portland, OR 97232-1821

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