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Individual

MELISSA ANNE NOVAK OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000

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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