OrganizationActive
Northwest Extremity Specialists LLC
NPI 1629774179 · Medical Specialty Clinic/Center · Tigard, OR
Provider details
- NPI number
- 1629774179
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northwest Extremity Specialists LLC
- Organization subpart
- Yes
- Authorized official
- Sheadawn Fogerson, Area Operations Director(503) 352-1313
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
9445 Sw Locust St
Tigard, OR 97223-6634
Phone: (503) 245-2420
Approximate (ZIP-level) locationGet directions
Mailing address
9115 Sw Oleson Rd Ste 205
Portland, OR 97223-6877
Other names (DBA / former)
- Other name
- Nes Orthopedics
- Other name
- Nes Orthopedics
Additional practice locations (1)
- 6485 Sw Borland Rd Ste aTualatin, OR 97062-9762Phone: (503) 352-1313Fax: (503) 352-1314
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.