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

Northwest Extremity Specialists, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1336511435

Northwest Extremity Specialists, LLC is a Foot & Ankle Surgery Podiatrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9115 SW Oleson Rd Ste 205
Portland, OR 97223-6877
Phone: (503) 245-2420
Fax: (503) 245-2445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00330 (OR)

Record details

NPI number1336511435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Melillo — Owner · (503) 245-2420
NPI enumeratedOctober 28, 2015
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877

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