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NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1386229219
Clinic/Center - Podiatric in Hillsboro, OR

Active since March 11, 2021
10690 NE CORNELL RD STE 212, HILLSBORO, OR 97124(503) 245-2420(503) 245-2445 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1386229219) is a healthcare organization registered as a podiatric in Hillsboro, Oregon and active in the NPI registry since March 2021. The organization lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1386229219
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address10690 NE CORNELL RD STE 212Hillsboro, OR 97124-9224
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 SubpartYes
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1386229219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
10690 NE CORNELL RD STE 212, Hillsboro, OR 97124
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Other Names 1

Other NameNes Tanasbourne

Other Providers at the Same Location NPPES

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

JOSHUA M MARICK PA-C
Physician Assistant
10690 NE CORNELL RD STE 212
HILLSBORO, OR 97124
Washington County (503) 962-1100

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 1386229219. It was assigned to this organization in the NPPES registry on March 11, 2021. The provider is also known as NES Tanasbourne.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 10690 NE Cornell Rd Ste 212, Hillsboro, OR 97124. The listed phone number is (503) 245-2420.

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 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.