Organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Active
Organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Active
Parent organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Other names
NES Wilsonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST EXTREMITY SPECIALISTS LLC
Authorized official
THOMAS CHARLES MELILLO DPM (OWNER)
(503) 245-2420
Entity
Organization
Contact information
Practice address
29756 SW TOWN CENTER LOOP W STE H, WILSONVILLE, OR 97070-6482
(503) 245-2420
(503) 245-2445
Mailing address
9115 SW OLESON RD STE 205, PORTLAND, OR 97223-6877
(503) 245-2420
(503) 245-2445
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
Update your record
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