LESLEY NICOLOFF OTTO MD, LLC
NPI 1417138769
Obstetrics & Gynecology - Gynecology in Portland, OR

Active since November 15, 2007
9155 SW BARNES RD, SUITE 634, PORTLAND, OR 97225(503) 297-4123(503) 297-0344 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lesley Nicoloff Otto Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLEY NICOLOFF OTTO MD, LLC (NPI 1417138769) is a healthcare organization registered as a gynecology in Portland, Oregon and active in the NPI registry since November 2007. The organization lists Lesley N Otto, Physician, as its authorized official.

NPPES Registry Identity

NPI1417138769
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLESLEY NICOLOFF OTTO MD, LLC
Location Address9155 SW BARNES RD, SUITE 634Portland, OR 97225-6633
Mailing Address9155 Sw Barnes Rd, Suite 634Portland, OR 97225-6633 · (503) 297-4123 · Fax (503) 297-0344
Fax(503) 297-0344
Organization SubpartNo
Authorized OfficialLesley N OttoPhysician · (503) 297-4123
Enumeration DateNovember 15, 2007
Last NPPES UpdateDecember 20, 2010
NPI 1417138769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in OR · MD18878
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
9155 SW BARNES RD, Portland, OR 97225

Other Identifiers 4

Medicare PINR132843OR
OtherMD18878OR · Medical License
Medicaid073122OR
Medicare UPING50660OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lesley Nicoloff Otto MD, LLC's NPI number?

The NPI number for Lesley Nicoloff Otto MD, LLC is 1417138769. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Lesley Nicoloff Otto MD, LLC located?

Lesley Nicoloff Otto MD, LLC is located at 9155 SW Barnes Rd Suite 634, Portland, OR 97225. The listed phone number is (503) 297-4123.

What is Lesley Nicoloff Otto MD, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Lesley Nicoloff Otto MD, LLC was last updated on December 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.