The Boss Clinic LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

THE BOSS CLINIC LLC

Practice address

19142 S Molalla Ave Ste a
Oregon City, OR 97045-7166

Phone

(503) 383-1252

Fax

(833) 802-1444

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Anne Bosserman, ND, MS, CCC-SLP

Title

Owner

Phone

(503) 880-0391

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1063987469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 BEAVERCREEK RD",
            "address_2": "STE 101 PMB 423",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454301",
            "telephone_number": "503-880-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19142 S MOLALLA AVE STE A",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457166",
            "telephone_number": "503-383-1252",
            "fax_number": "833-802-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17835 S Edgewood Ln",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970459210",
            "country_code": "US",
            "telephone_number": "503-880-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BOSS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BOSSERMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-880-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.