Ottenbacher, Melissa R

Ottenbacher, Melissa R is an individual health care provider with primary practice located at 450 S Kitsap Blvd Ste 2300, Port Orchard WA 98366-3773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ottenbacher, Melissa R can be contacted via phone (360) 895-0216.

Contact Information

Primary practice address
450 S Kitsap Blvd Ste 2300 Port Orchard WA 98366-3773
Phone: (360) 895-0216
Fax: (360) 895-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60103856 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X RN00167987 Washington

Profile Details

NPI number 1922099696
LBN Legal business name Ottenbacher, Melissa R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922099696 NPPES
Washington MEDICAID 9662412
Washington Other RN00167987
Washington Other AP60103856

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