Provider Demographics
NPI:1003655036
Name:DOOSING, MELISSA KATHLEEN (ND, MSN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:KATHLEEN
Last Name:DOOSING
Suffix:
Gender:F
Credentials:ND, MSN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:DOOSING
Other - Last Name:VAN BUREN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, MSN
Mailing Address - Street 1:4036 S 6TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4750
Mailing Address - Country:US
Mailing Address - Phone:541-851-9320
Mailing Address - Fax:
Practice Address - Street 1:4036 S 6TH ST STE 2
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4750
Practice Address - Country:US
Practice Address - Phone:541-851-9320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine