person
Thomas Charles Melillo, DPM
Foot & Ankle Surgery Podiatrist in Portland, Oregon
NPI 1619085479

Thomas Charles Melillo is a Foot & Ankle Surgery Podiatrist based in Portland, OR and is specialized in Foot & Ankle Surgery. Thomas Charles Melillo practices in Portland, OR and has the professional credentials of DPM. The NPI Number for Thomas Charles Melillo is 1619085479 and holds a License No. DP00334 (Oregon).

The current practice location address for Thomas Charles Melillo is 9115 Sw Oleson Rd Ste 205, Portland, OR and can be reached out via phone at 503-245-2420.

Location: 9115 Sw Oleson Rd Ste 205, Portland, OR, 97223-6877
person
Provider Profile Details
NPI Number
1619085479
Provider Name
Thomas Charles Melillo
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9115 Sw Oleson Rd Ste 205, Portland, OR, 97223-6877
Phone Number
503-245-2420
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
228835 05 OR
institution
Provider Business Practice Location Address Details
Address
9115 Sw Oleson Rd Ste 205
City
State
Zip
97223-6877
Phone Number
503-245-2420
Fax Number
person
Provider Business Mailing Address Details
Address
9115 Sw Oleson Rd Ste 205
City
State
Zip
97223-6877
Phone Number
503-245-2420
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DP00334 (Oregon)
Definition
Definition to come...
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