Lesley Nicoloff Otto
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
9155 Sw Barnes Rd Suite 634
Portland
, Oregon 97225-6625
Lesley Nicoloff Otto
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
9155 Sw Barnes Rd Suite 634
Portland
, Oregon 97225-6625
(503) 963-2825
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Lesley Nicoloff Otto
- 847 Ne19th Suite 300
- Portland, OR
- Zip : 97232
- Fax : (503) 963-2825
- Phone : (503) 963-2801
Second Address
- Lesley Nicoloff Otto
- 9155 Sw Barnes Rd Suite 634
- Portland, OR
- Zip : 97225-6625
- Fax : (509) 297-0344
- Phone : (503) 297-4123
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FAQs
Where did Lesley Nicoloff Otto attend graduate school?
Where did Lesley Nicoloff Otto do her residency?
Where did Lesley Nicoloff Otto do her fellowship?
Is Lesley Nicoloff Otto board certified?
What type of doctor is Lesley Nicoloff Otto
In what state does Lesley Nicoloff Otto practice in?
Where is Lesley Nicoloff Otto ’s practice located?
What is Lesley Nicoloff Otto ’s gender?
Is Lesley Nicoloff Otto a sole practitioner?
Is Lesley Nicoloff Otto accepting new patients?
What languages does Lesley Nicoloff Otto speak?
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Does Lesley Nicoloff Otto offers telemedicine?
What is Lesley Nicoloff Otto ’s professional license number?
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Does Lesley Nicoloff Otto have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD18878 | OR |
| N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60636494 | WA |
| N | 207VG0400X | Gynecologist | MD18878 | OR |
| N | 207VG0400X | Gynecologist | MD60636494 | WA |
National Provider Identifier
| NPI | 1699729608 |
|---|---|
| Provider Name | Lesley Nicoloff Otto |
| First Address | Portland, OR 97232 |
| Second Address | Portland, OR 97225-6625 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 27/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 073122 | (05) | OR |
| 1699729608 | (05) | WA |
| 2038459 | (05) | WA |
| 931237109 | TAX ID (01) | OR |
| G50660 | (02) | OR |
| MD18878 | LICENSE (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.