NORTHWEST EXTREMITY SPECIALISTS LLC

PORTLAND, OR
NPI1124603055
Other NameNES GRESHAM
Entity TypeOrganization
Authorized ContactTHOMAS CHARLES MELILLO
Owner
503-245-2420
Organization Subpart ?Yes
Primary Taxonomy261QP1100X Clinic/Center, Podiatric
Enumeration Date2021-03-11
Last Update Date2021-03-11
Business Address
NORTHWEST EXTREMITY SPECIALISTS LLC
12658 SE STARK ST BLDG H
PORTLAND, OR 97233-1058
Phone number: 503-221-1581
Mailing Address
NORTHWEST EXTREMITY SPECIALISTS LLC
9115 SW OLESON RD STE 205
TIGARD, OR 97223-6877
Phone number: 503-245-2420