Active NPI
Underdog Alchemy
- Psychiatric/Mental Health Nurse Practitioner
- Gresham, OR
National Provider Identifier
1720946569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- UNDERDOG ALCHEMY
- Practice address
- 22400 SE Stark St
Gresham, OR 97030-2600 - Phone
- (971) 486-6182
- Fax
- (971) 293-4016
- NPI assigned
- Jan 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misha Hardison Love, RN MSN, PMHNP-BC
- Title
- Psychiatric Nurse Practitioner
- Phone
- (971) 486-6182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
22400 SE Stark St
Gresham, OR 97030-2600
Mailing address
22400 SE Stark St Ste 104
Gresham, OR 97030-2618
Phone (971) 486-6182
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1356974984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1720946569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22400 SE STARK ST STE 104",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970302618",
"telephone_number": "971-486-6182",
"fax_number": "971-293-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22400 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970302600",
"telephone_number": "971-486-6182",
"fax_number": "971-293-4016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNDERDOG ALCHEMY",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "MISHA",
"authorized_official_middle_name": "HARDISON",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "971-486-6182",
"authorized_official_credential": "RN MSN, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.