Northwest Extremity Specialists LLC
Northwest Extremity Specialists LLC is a Podiatric Clinic/Center in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12658 SE Stark St Bldg HPortland, OR 97233-1058
Phone: (503) 221-1581
Fax: (503) 221-1582
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatric Clinic/Center (primary) | Taxonomy 261QP1100X |
|---|
Record details
| NPI number | 1124603055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Northwest Extremity Specialists LLC |
| Authorized official | Thomas Melillo — Owner · (503) 245-2420 |
| Other names | Nes Gresham |
| NPI enumerated | March 11, 2021 |
| Last updated in NPPES | March 11, 2021 |
| Certification date | March 11, 2021 |
| Mailing address | 9115 Sw Oleson Rd Ste 205, Tigard, OR 97223-6877 |
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