Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lesley Nicoloff Otto MD, LLC

Organization Gynecology Physician · NPI 1417138769

Lesley Nicoloff Otto MD, LLC provides Gynecology Physician services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9155 SW Barnes Rd Ste 634
Portland, OR 97225-6633 Not confirmed with CMS for 15 years — call before visiting
Phone: (503) 297-4123
Fax: (503) 297-0344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence MD18878 (OR)

Record details

NPI number1417138769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Otto — Physician · (503) 297-4123
NPI enumeratedNovember 15, 2007
Last updated in NPPESDecember 20, 2010
Mailing address9155 Sw Barnes Rd, Suite 634, Portland, OR 97225-6633

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