Melissa A Bosserman, N.D., M.S. CCC-SLP

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4214 Issued in OR

Practice address

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

Phone

(503) 383-1252

Fax

(833) 802-1444

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1659507283",
    "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": "970452246",
            "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": {
        "last_name": "BOSSERMAN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "N.D., M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12951",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Bolon
• Nicole Lorraine Bongard
• Ryan Boriskin
• Ruth Anne Borowski-Riskedahl X, B.S. CADC I, CGAC I
• Alison Bort, PH.D., J.D.
• Gabrielle Elise Bosso
• Graham Bouldin, MSW
• Amber Boumann
• Jade Nichole Bourbonnais
• Thomas M Bowers, LCSW

• Naturopath in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Naturopath in Oregon

• 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.