National Provider Identifier Database

LESLEY NICOLOFF OTTO MD LLC
Gynecology

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


Contact Information

LESLEY NICOLOFF OTTO MD, LLC
9155 SW BARNES RD
SUITE 634
PORTLAND, OR97225-6633
Phone: 503-297-4123
Fax: 503-297-0344
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for LESLEY NICOLOFF OTTO MD, LLC

NPI Number 1417138769
Legal business name
LBN
LESLEY NICOLOFF OTTO MD, LLC
Authorized official LESLEY OTTO - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 11/15/2007
Last updated 12/20/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: MD18878
  • OR Medicaid: 073122
  • OR Other: MD18878 MEDICAL LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LESLEY NICOLOFF OTTO MD, LLC

There are currently no reviews for LESLEY NICOLOFF OTTO MD, LLC


NPIdb - Home
v2.201