NPI age
19 years
Enumerated 2006-07-06
● Active
Type 1 · Individual
MRS. Melissa Lee Park, MD
Park is 1 of 26 internal medicine providers in Lewiston and 1 of 504 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, ME
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 504 active internal medicine providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
44% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
1203 Idaho St
Lewiston, ID 835011940
Mailing address
611 N Iron Bridge Way
Spokane, WA 992024932
Additional practice locations
1 secondary location on file with NPPES.
Location 2
803 S Main St Ste 120
Moscow, ID 838432695
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ME) | 431898000 | |
| 05 (ID) | 808286200 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.