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NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1306421219
Clinic/Center - Podiatric in Portland, OR

Active since March 11, 2021
12400 NW CORNELL RD STE 201, PORTLAND, OR 97229(503) 643-1737(503) 643-4926 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwest Extremity Specialists Llc NPPES

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

NORTHWEST EXTREMITY SPECIALISTS LLC (NPI 1306421219) is a healthcare organization registered as a podiatric in Portland, Oregon and active in the NPI registry since March 2021. The organization lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1306421219
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address12400 NW CORNELL RD STE 201Portland, OR 97229-5689
Mailing Address9115 Sw Oleson Rd Ste 205Portland, OR 97223-6877 · (503) 245-2420
Phone(503) 643-1737
Fax(503) 643-4926
Organization SubpartYes
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1306421219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
12400 NW CORNELL RD STE 201, Portland, OR 97229
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Other Names 1

Other NameNes Cedar Mill

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.

DR. LOPA DALMIA D.P.M
Podiatrist (Foot & Ankle Surgery)
12400 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 643-1737
CARA BEACH DPM
Podiatrist
12400 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 643-1737
MRS. MARGARET BYRNE LOEBNER PT
Physical Therapist
12400 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 643-1737
ALEXANDRIA MCNIVEN PT
Physical Therapist
12400 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 643-1737
DR. DENNY VAN LE DPM
Podiatrist (Foot & Ankle Surgery)
12400 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 643-1737

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 1306421219. It was assigned to this organization in the NPPES registry on March 11, 2021. The provider is also known as NES Cedar Mill.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 12400 NW Cornell Rd Ste 201, Portland, OR 97229. The listed phone number is (503) 643-1737.

What is Northwest Extremity Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Northwest Extremity Specialists LLC was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.