Melissa Misley, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDD10172491 Issued in OR

Practice address

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Phone

(360) 256-0556

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Princehouse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1326558420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E DARTMOUTH ST",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "360-256-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISLEY",
        "first_name": "MELISSA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LDD10172491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PRINCEHOUSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edmir Miranda, RRT
• Jesus C. Miranda, PT, DPT, OCS
• Sharon Renee Mirarchi, M.D.
• Naomi Ferdous Mirza, MD
• Chieko N Misaki, M.D.
• Briell Mitchell
• David Bruce Mitchell, MD
• Jasmin Mitchell, R.D.H.
• Scott Keola Miyake, M.D.
• Karen Aiko Miyazono, LMT

• Registered Dietitian in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.