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NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1295126241
Podiatrist in Portland, OR

Active since February 12, 2015
9115 SW OLESON RD STE 205, PORTLAND, OR 97223(503) 245-2420 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2021, Jan 6, 2021 (2 updates tracked since 2021).

About Northwest Extremity Specialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST EXTREMITY SPECIALISTS LLC (NPI 1295126241) is a healthcare organization registered as a podiatrist in Portland, Oregon and active in the NPI registry since February 2015. The organization maintains 11 additional practice locations and lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1295126241
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address9115 SW OLESON RD STE 205Portland, OR 97223-6877
Mailing Address9115 Sw Oleson Rd Ste 205Portland, OR 97223-6877 · (503) 245-2420
Phone(503) 245-2420
Organization SubpartNo
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateFebruary 12, 2015
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1295126241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

9115 SW OLESON RD STE 205, Portland, OR 97223
Open in Google Maps ↗

Secondary Practice Locations 11

Location 15499 Amy StWest Linn, OR 97068-3320 · Phone (503) 655-0775 · Fax (503) 655-0751
Location 210690 NE Cornell Rd Ste 212Hillsboro, OR 97124-9224 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 316770 SW Edy Rd Ste 318Sherwood, OR 97140-9678 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 42222 NW Lovejoy St Ste 510Portland, OR 97210-5103 · Phone (503) 221-1581 · Fax (503) 221-1582
Location 5201 N Washington StNewberg, OR 97132-2727 · Phone (503) 538-0800 · Fax (503) 554-8408
Location 61000 N Providence Dr Ste 320Newberg, OR 97132-7582 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 76542 SE Lake Rd Ste 102Milwaukie, OR 97222-2245 · Phone (503) 659-6686 · Fax (503) 905-6202
Location 85050 NE Hoyt St Ste 411Portland, OR 97213-2983 · Phone (503) 643-1737 · Fax (503) 643-4926
Location 912658 SE Stark St Bldg HPortland, OR 97233-1058 · Phone (503) 221-1581 · Fax (503) 221-1582
Location 1012400 NW Cornell Rd Ste 201Portland, OR 97229-5689 · Phone (503) 643-1737 · Fax (503) 643-4926
Location 1118040 SW Lower Boones Ferry Rd Ste 207Tigard, OR 97224-7259 · Phone (503) 245-2420 · Fax (503) 245-2445

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ELLER DPM
Podiatrist (Foot & Ankle Surgery)
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Washington County (503) 245-2420
NORTHWEST EXTREMITY SPECIALISTS, LLC
Podiatrist (Foot & Ankle Surgery)
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Washington County (503) 245-2420
CHAD SMURTHWAITE PT, DPT
Physical Therapist
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Washington County (503) 245-5710
THOMAS CHARLES MELILLO DPM
Podiatrist (Foot & Ankle Surgery)
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Washington County (503) 245-2420
MELINDA SUE NICHOLES DPM
Podiatrist
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Washington County (503) 245-2420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Extremity Specialists LLC's NPI number?

The NPI number for Northwest Extremity Specialists LLC is 1295126241. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 9115 SW Oleson Rd Ste 205, Portland, OR 97223. The listed phone number is (503) 245-2420.

What is Northwest Extremity Specialists LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Northwest Extremity Specialists LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Northwest Extremity Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Extremity Specialists LLC was last updated on February 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.