Individual provider Active NPI

Misty Dawn White, N.D.

  • Naturopath
  • Lake Oswego, OR
National Provider Identifier
1679729784
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1605 Issued in OR
Practice address
14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Phone
(503) 746-5889
Fax
(503) 208-8025
NPI assigned
Aug 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1605 OR Primary

Addresses

Primary practice location

14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775

Mailing address

14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Phone (503) 746-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1605ORMDNaturopath

Interoperability endpoints

  • Direct secure messaging: misty.white@239540158922756.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1679729784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 WESTLAKE DR STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357775",
            "telephone_number": "503-746-5889",
            "fax_number": "503-208-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 WESTLAKE DR STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357775",
            "telephone_number": "503-746-5889",
            "fax_number": "503-208-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-09",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.