Scott David Mist, MACOM, PHD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OR00779 Issued in OR

Practice address

3705 SE Cesar Chavez Blvd
Portland, OR 97202-1704

Phone

(971) 420-3245

NPI assigned

Jan 29, 2010

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascade Mist Acupuncture LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1043006356
  NPD Authorized official

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1285966317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142032",
            "telephone_number": "971-998-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SE CESAR CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021704",
            "telephone_number": "971-420-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 SW US Veterans Hospital Rd",
            "address_2": "SNORD",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972392941",
            "country_code": "US",
            "telephone_number": "971-998-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIST",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "MACOM, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "OR00779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sounak N Misra, MD
• Tara Misra, MS, MSW
• John Frederic Mission, M.D.
• Mississippi Chiropractic, P.C.
• Mississippi Health Center Medicinay LLC
• Kiran Mistry, D.D.S.
• Nupur Sanghavi Mistry, MD
• Priya Patil Mistry, DDS
• Pavel Mitaru, DO
• Mitch Bacon LLC (Groundpdx)

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.