| Northwest Extremity Specialists Llc | |
|
9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877 | |
| (503) 245-2420 | |
| Not Available |
| Full Name | Northwest Extremity Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 9115 Sw Oleson Rd Ste 205, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295126241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Thomas C Melillo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619085479 PECOS PAC ID: 8729071741 Enrollment ID: I20040414000811 |
| Provider Name | Jason R Surratt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649386541 PECOS PAC ID: 9537152558 Enrollment ID: I20040414000841 |
| Provider Name | Patricia E Cain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518146984 PECOS PAC ID: 8820083306 Enrollment ID: I20040415000303 |
| Provider Name | Michael V Mesa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184744351 PECOS PAC ID: 7810958956 Enrollment ID: I20041025000507 |
| Provider Name | Yama A Dehqanzada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154338275 PECOS PAC ID: 5698727568 Enrollment ID: I20050218000601 |
| Provider Name | Margaret B Loebner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700875275 PECOS PAC ID: 5193742781 Enrollment ID: I20051102000509 |
| Provider Name | Ronald R Bowman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902849771 PECOS PAC ID: 2668490939 Enrollment ID: I20051107000392 |
| Provider Name | Clifford D Mah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962454934 PECOS PAC ID: 8820091754 Enrollment ID: I20060816000043 |
| Provider Name | Julie E Horowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255517363 PECOS PAC ID: 0648331009 Enrollment ID: I20081204000453 |
| Provider Name | Brian T Horak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972590735 PECOS PAC ID: 6406901974 Enrollment ID: I20090904000341 |
| Provider Name | Manny Moy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639162795 PECOS PAC ID: 4587700885 Enrollment ID: I20090929000642 |
| Provider Name | Scott J Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750395208 PECOS PAC ID: 4789866583 Enrollment ID: I20110316000201 |
| Provider Name | Stephen Fekete |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356452247 PECOS PAC ID: 1951565324 Enrollment ID: I20120614000682 |
| Provider Name | Todd L Galle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629048533 PECOS PAC ID: 8820281975 Enrollment ID: I20130912000350 |
| Provider Name | Denny V Le |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285977470 PECOS PAC ID: 6608173802 Enrollment ID: I20160824000558 |
| Provider Name | Mia Horvath |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083840318 PECOS PAC ID: 8022267020 Enrollment ID: I20160907000633 |
| Provider Name | Lopa Dalmia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386884237 PECOS PAC ID: 8426196171 Enrollment ID: I20171101003194 |
| Provider Name | Peter D Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568877264 PECOS PAC ID: 8820350028 Enrollment ID: I20180328002281 |
| Provider Name | Lacey Beth Lockhart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497149454 PECOS PAC ID: 4981997194 Enrollment ID: I20191127002492 |
| Provider Name | Cara Marie Beach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619338829 PECOS PAC ID: 5597098103 Enrollment ID: I20200831003040 |
| Provider Name | John Sterling Zdor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053830513 PECOS PAC ID: 6204102106 Enrollment ID: I20201209001991 |
| Provider Name | Meghan J Teague |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760987234 PECOS PAC ID: 6002168697 Enrollment ID: I20210527002498 |
| Provider Name | Alexandria Mcniven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457927626 PECOS PAC ID: 2567865066 Enrollment ID: I20210721001985 |
| Provider Name | Lisa Yoon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265937247 PECOS PAC ID: 4587059415 Enrollment ID: I20220311000717 |
| Provider Name | Chad Smurthwaite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386391852 PECOS PAC ID: 7911394143 Enrollment ID: I20220418002046 |
| Provider Name | Taylor Jacqueline Bunka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083119333 PECOS PAC ID: 5597154898 Enrollment ID: I20220719003068 |
| Provider Name | Melinda Sue Nicholes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699330803 PECOS PAC ID: 2668856238 Enrollment ID: I20220831000575 |
| Provider Name | Alexander Friedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174973242 PECOS PAC ID: 9638579600 Enrollment ID: I20220906003051 |
| Provider Name | Vincent A. Gonsalves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285808303 PECOS PAC ID: 8224409479 Enrollment ID: I20230125003090 |
| Provider Name | Cindy Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962883579 PECOS PAC ID: 5294028411 Enrollment ID: I20230126002399 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Extremity Specialists Llc 9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877 Ph: (503) 245-2420 | Northwest Extremity Specialists Llc 9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877 Ph: (503) 245-2420 |
Barnes Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 9615 Nw Randall Ln, Portland, OR 97229 Phone: 503-297-2222 | |
Edward Theodore Ysunza Iv, Podiatrist Medicare: Medicare Enrolled Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Dr. Brian M. Bowen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213 Phone: 503-284-2000 Fax: 503-284-2002 | |
Town Center Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 8305 Se Monterey Ave Ste 101, Portland, OR 97266 Phone: 503-652-1121 Fax: 503-652-2193 | |
Ray A Mcclanahan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 725 Nw 19th Ave, Portland, OR 97209 Phone: 503-243-2699 Fax: 503-243-2698 | |
Portland Foot And Ankle Institute, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229 Phone: 503-336-0169 Fax: 503-352-4583 | |
Dr. Steven Gary Tillett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239 Phone: 503-246-2212 |