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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLEY NICOLOFF OTTO MD, LLC

Active Organization

LESLEY NICOLOFF OTTO MD, LLC is a Gynecology organization located in PORTLAND, Oregon. NPI 1417138769 is currently active in the NPPES registry. Verify at CMS.

Gynecology · PORTLAND, OR

Registration Details

NPI Number
1417138769
Provider Type
Organization
NPI Issued
Nov 15, 2007 (18.777917165816 yrs)
Last Updated
Dec 20, 2010
License
MD18878 (OR)

Practice Information

Address
9155 SW BARNES RD
SUITE 634
PORTLAND, OR, 972256633
Browse OR providers · Browse ZIP 97225
Phone
5032974123
Fax
5032970344
Primary Specialty
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.