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

Melinda Sue Nicholes, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1699330803

Melinda Sue Nicholes, DPM is a Podiatry in Portland, Oregon. Graduated from College of Podiatric Med and Surgery, Des Moines University in 2019, 7 years ago. Practices with Northwest Extremity Specialists LLC, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
College of Podiatric Med and Surgery, Des Moines University
Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12303 Depaul Drive, Bridgeton, MO 63044 — (314) 344-6000

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DP211498 (OR)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence DP211498 (OR)

Record details

NPI number1699330803
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCOLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Northwest Extremity Specialists Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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