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NORTHWEST EXTREMITY SPECIALISTS, LLC
NPI 1336511435
Podiatrist - Foot & Ankle Surgery in Portland, OR

Active since October 28, 2015
9115 SW OLESON RD STE 205, PORTLAND, OR 97223(503) 245-2420(503) 245-2445 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2021, Jan 12, 2017 (2 updates tracked since 2017).

About Northwest Extremity Specialists, Llc NPPES

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

NORTHWEST EXTREMITY SPECIALISTS, LLC (NPI 1336511435) is a healthcare organization registered as a foot & ankle surgery in Portland, Oregon and active in the NPI registry since October 2015. The organization lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1336511435
Entity TypeOrganization
Primary Taxonomy213ES0103X
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 · Fax (503) 245-2445
Phone(503) 245-2420
Fax(503) 245-2445
Organization SubpartNo
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateOctober 28, 2015
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1336511435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OR · DP00330
9115 SW OLESON RD STE 205, Portland, OR 97223
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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 Providence Health Plan.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
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 1336511435. It was assigned to this organization in the NPPES registry on October 28, 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, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Northwest Extremity Specialists, LLC accept?

Health plans from Providence Health Plan 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 January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.