NORTHWEST EXTREMITY SPECIALISTS LLC

HILLSBORO, OR
NPI1386229219
Other NameNES TANASBOURNE
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
10690 NE CORNELL RD STE 212
HILLSBORO, OR 97124-9224
Phone number: 503-245-2420
Mailing Address
NORTHWEST EXTREMITY SPECIALISTS LLC
9115 SW OLESON RD STE 205
PORTLAND, OR 97223-6877
Phone number: 503-245-2420