Pardise Mossalman

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

15110 Boones Ferry Rd Ste 370
Lake Oswego, OR 97035-3461

Phone

(503) 917-9494

NPI assigned

Dec 17, 2025

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1043175680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15875 BOONES FERRY RD UNIT 1426",
            "city": "LAKE GROVE",
            "state": "OR",
            "postal_code": "970350811",
            "telephone_number": "503-917-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 BOONES FERRY RD STE 370",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353461",
            "telephone_number": "503-917-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSALMAN",
        "first_name": "PARDISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine L Morris Daraee, LCSW
• Ligia Ines Morrison, D.D.S
• Patrick Morrissey, DDS
• Diane Moskowitz, M.A.
• Evangelina Mosqueda
• Mountain Park Pharmacy
• Mountain Peak Counseling, LLC
• Kenzie Mozejko
• Mt Hood General and Vascular Surgeons LLC
• Christina M Mueller, L.M.T.

• Health & Wellness Coach in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Health & Wellness Coach in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.