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NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1750966792
Clinic/Center - Podiatric in Tigard, OR

Active since March 11, 2021
18040 SW LOWER BOONES FERRY RD STE 207, TIGARD, OR 97224(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: 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 1750966792) is a healthcare organization registered as a podiatric in Tigard, Oregon and active in the NPI registry since March 2021. The organization lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1750966792
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address18040 SW LOWER BOONES FERRY RD STE 207Tigard, OR 97224-7259
Mailing Address9115 Sw Oleson Rd Ste 205Portland, OR 97223-6877 · (503) 245-2420
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 1750966792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
18040 SW LOWER BOONES FERRY RD STE 207, Tigard, OR 97224
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Other Names 1

Other NameNes Bridgeport

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 1750966792. It was assigned to this organization in the NPPES registry on March 11, 2021. The provider is also known as NES Bridgeport.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 18040 SW Lower Boones Ferry Rd Ste 207, Tigard, OR 97224. 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 with the weekly NPPES data releases published by CMS.