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1295126241
NORTHWEST EXTREMITY SPECIALISTS LLC
PORTLAND, OR
NPI
1295126241
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Entity Type
Organization
Authorized Contact
THOMAS CHARLES MELILLO
Owner
503-245-2420
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2015-02-12
Last Update Date
2021-02-08
Business Address
NORTHWEST EXTREMITY SPECIALISTS LLC
9115 SW OLESON RD STE 205
PORTLAND, OR 97223-6877
Phone number: 503-245-2420
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Mailing Address
NORTHWEST EXTREMITY SPECIALISTS LLC
9115 SW OLESON RD STE 205
PORTLAND, OR 97223-6877
Phone number: 503-245-2420
Copy
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