Individual provider · Type 1 NPI

Lesley Nicoloff Otto, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Portland, OR

NPI number 1699729608 Active

Practice location

9155 SW Barnes Rd, Suite 634
Portland, OR 97225-6625

Call (503) 297-4123 Map

Fax (509) 297-0344

Mailing address

847 NE19TH, Suite 300
Portland, OR 97232

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician 207VG0400XMD60636494 (WA)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XMD60636494 (WA)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary 207VF0040XMD18878 (OR)
Gynecology Physician 207VG0400XMD18878 (OR)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1699729608

Lesley Nicoloff Otto, MD's National Provider Identifier is 1699729608, issued on May 22, 2006. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Portland, OR. The record was last updated on Apr 27, 2016.