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Individual
MELISSA ANNE NOVAK OTT
Active
Individual
MELISSA ANNE NOVAK OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO155928
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
OP70089849
WA
Other
Enumeration date
04/16/2008
Last updated
05/01/2026
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