institution
Lesley Nicoloff Otto Md, Llc
Gynecology Physician in Portland, Oregon
NPI 1417138769

Lesley Nicoloff Otto Md, Llc is a Gynecology Physician based in Portland, OR and is specialized in Gynecology. Lesley Nicoloff Otto Md, Llc practices in Portland, OR. The NPI Number for Lesley Nicoloff Otto Md, Llc is 1417138769 and holds a License No. MD18878 (Oregon).

The current practice location address for Lesley Nicoloff Otto Md, Llc is 9155 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-297-4123 and via fax at 503-297-0344.

Location: 9155 Sw Barnes Rd, Portland, OR, 97225-6633
institution
Provider Profile Details
NPI Number
1417138769
Provider Name
Lesley Nicoloff Otto Md, Llc
Credential
Provider Entity Type
Organization
Address
9155 Sw Barnes Rd, Portland, OR, 97225-6633
Phone Number
503-297-4123
Fax Number
503-297-0344
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
073122 05 OR
MD18878 01 OR MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6633
Phone Number
503-297-4123
Fax Number
503-297-0344
person
Provider Business Mailing Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6633
Phone Number
503-297-4123
Fax Number
503-297-0344
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
MD18878 (Oregon)
Definition
Definition to come...
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