NPI 1295126241

Northwest Extremity Specialists LLC

Organisation Podiatrist Portland, OR

Practice location

Address: 9115 SW Oleson Rd STE 205, Portland, OR 97223-6877
Phone: (503) 245-2420

Authorised official

Name: Thomas Charles Melillo
Title: Owner
Phone: (503) 245-2420

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Oregon →

Registry record

NPI: 1295126241
Entity type: Organization
NPI issued: 12 Feb 2015
Record last updated: 8 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.