Northwest Extremity Specialists LLC

NPI #1295126241 in Portland, Oregon

Provider Information

NPI Number: 1295126241
Entity Type: Organization
Organization Name: Northwest Extremity Specialists LLC
Primary Specialty: Podiatrist
Enumeration Date: Feb 12, 2015
Last Updated: Feb 8, 2021

Practice Location

Address: 9115 SW OLESON RD STE 205
City: Portland
State: Oregon
ZIP Code: 97223-6877
Phone: (503) 245-2420

Authorized Official

Name: THOMAS CHARLES MELILLO, DPM
Title: OWNER
Phone: (503) 245-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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