NORTHWEST EXTREMITY SPECIALISTS LLC NPI 1629774179

NPI Information

  • NPI: 1629774179
  • Provider Name: NORTHWEST EXTREMITY SPECIALISTS LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Other Name: NES ORTHOPEDICS
  • Address: 9445 SW LOCUST ST
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 245-2420

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NPI Details

NORTHWEST EXTREMITY SPECIALISTS LLC is a medical specialty clinic center in Tigard, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTHWEST EXTREMITY SPECIALISTS LLC NPI is 1629774179. The provider is registered as an organization entity type.
The provider Other Name Is Nes Orthopedics.

The provider's business location address is:

9445 SW LOCUST ST
TIGARD, OR
ZIP 97223-634
Phone: (503) 245-2420

The provider's authorized official is Sheadawn Fogerson .
The authorized official title is Area Operations Director and has the following contact phone number (503) 352-1313.

The enumeration date for this NPI number is 2/6/2023 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11174973242OTHERCALIFORNIAORTHOPEDIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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