Melillo, Thomas Charles

Melillo, Thomas Charles is an individual health care provider with primary practice located at 9115 Sw Oleson Rd Ste 205 , Portland OR 97223-6877. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Melillo, Thomas Charles can be contacted via phone (503) 245-2420.

Contact Information

Primary practice address
9115 Sw Oleson Rd Ste 205 Portland OR 97223-6877
Phone: (503) 245-2420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00334 Oregon

Profile Details

NPI number 1619085479
LBN Legal business name Melillo, Thomas Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619085479 NPPES
Oregon MEDICAID 228835

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