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

Portland Medical

Organization Health Service Clinic/Center · NPI 1679230510

Portland Medical is a Health Service Clinic/Center in Portland, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

307 S Broadway St
Portland, TN 37148-1413
Phone: (615) 325-6755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1679230510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Nazarenus — Apn · (615) 804-9470
NPI enumeratedNovember 28, 2021
Last updated in NPPESNovember 28, 2021
Certification dateNovember 28, 2021
Mailing address106 Pires Ln, Portland, TN 37148-4900