| NPI | 1336511435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES MELILLO Owner 503-245-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00330) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2021-01-06 |