OrganizationActive
Northwest Extremity Specialists LLC
NPI 1669057592 · Podiatric Clinic/Center · Newberg, OR
Provider details
- NPI number
- 1669057592
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northwest Extremity Specialists LLC
- Organization subpart
- Yes
- Authorized official
- Thomas Melillo, Owner(503) 245-2420
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 N Providence Dr Ste 320
Newberg, OR 97132-7582
Phone: (503) 245-2420
Fax: (503) 245-2445
Street-level locationGet directions
Mailing address
9115 Sw Oleson Rd Ste 205
Portland, OR 97223-6877
Other names (DBA / former)
- Other name
- Nes Newberg Providence
Registry dates
- Enumerated
- 2021-03-11
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.