IndividualActive
Melinda Nicholes, DPM
NPI 1699330803 · Podiatrist · Portland, OR
Provider details
- NPI number
- 1699330803
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- DP211498 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
9115 Sw Oleson Rd Ste 205
Portland, OR 97223-6877
Phone: (503) 245-2420
Fax: (503) 245-2445
Approximate (ZIP-level) locationGet directions
Mailing address
9115 Sw Oleson Rd Ste 205
Portland, OR 97223-6877
Additional practice locations (1)
- 12303 Depaul DriveBridgeton, MO 63044Phone: (314) 344-6000
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.