NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1922683366
Clinic/Center - Podiatric in Newberg, OR

Active since March 17, 2021
201 N WASHINGTON ST, NEWBERG, OR 97132(503) 538-0800(503) 554-8408 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1922683366) is a healthcare organization registered as a podiatric in Newberg, Oregon and active in the NPI registry since March 2021. The organization lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1922683366
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address201 N WASHINGTON STNewberg, OR 97132-2727
Mailing Address9115 Sw Oleson Rd Ste 205Portland, OR 97223-6877 · (503) 245-2420
Fax(503) 554-8408
Organization SubpartYes
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateMarch 17, 2021
NPPES CertifiedMarch 11, 2021
NPI 1922683366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
201 N WASHINGTON ST, Newberg, OR 97132

Other Names 1

Other NameNes Newberg Washington St

Other Providers at the Same Location NPPES 3

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

Podiatrist
201 N WASHINGTON ST
NEWBERG, OR 97132
Dentist
201 N WASHINGTON ST
NEWBERG, OR 97132
Podiatrist
201 N WASHINGTON ST
NEWBERG, OR 97132

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 1922683366. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is also known as NES Newberg Washington St.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 201 N Washington St, Newberg, OR 97132. The listed phone number is (503) 538-0800.

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 17, 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.