Northwest Extremity Specialists LLC
NPI #1124603055 in Portland, Oregon
Provider Information
- NPI Number
- 1124603055
- Entity Type
- Organization
- Organization Name
- Northwest Extremity Specialists LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NORTHWEST EXTREMITY SPECIALISTS LLC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Mar 11, 2021
- Last Updated
- Mar 11, 2021
Practice Location
Authorized Official
- Name
- THOMAS CHARLES MELILLO, DPM
- Title
- OWNER
- Phone
- (503) 245-2420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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