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Thomas Charles Melillo, DPM

Podiatrist, Foot & Ankle Surgery in Portland, OR. Individual provider (NPI-1).

NPI number1619085479
StatusActive
Last updated in NPPESJan 6, 2021

Details

NPI
1619085479
Entity type
Individual (NPI-1)
Name
Thomas Charles Melillo
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2006
Certification date
Jan 6, 2021
Last updated
Jan 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryDP00334ORYes

Practice location

9115 Sw Oleson Rd Ste 205
Portland, OR 97223-6877

Phone 503-245-2420

Mailing address

9115 Sw Oleson Rd Ste 205
Portland, OR 97223-6877

Phone 503-245-2420

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