| NPI | 1346973039 |
|---|---|
| Doing Business As | NES WILSONVILLE |
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES MELILLO Owner 503-245-2420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |