Organization · Type 2 NPI

Lesley Nicoloff Otto Md, LLC

Gynecology Physician · Portland, OR

NPI number 1417138769 Active

Practice location

9155 SW Barnes Rd, Suite 634
Portland, OR 97225-6633

Call (503) 297-4123 Map

Fax (503) 297-0344

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XMD18878 (OR)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1417138769

Lesley Nicoloff Otto Md, LLC's National Provider Identifier is 1417138769, issued on Nov 15, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Portland, OR. The record was last updated on Dec 20, 2010.