Lesley Nicoloff Otto Md, Llc in Portland - Gynecology
Lesley Nicoloff Otto Md, Llc - NPI 1417138769
Lesley Nicoloff Otto Md, Llc is a Gynecology in Portland, Oregon. Lesley Nicoloff Otto Md, Llc practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Lesley Nicoloff Otto Md, Llc is 1417138769. The last update date is 2010-12-20.
Lesley Nicoloff Otto Md, Llc's current location address is 9155 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032974123 and fax number 5032970344. The mailing address for Lesley Nicoloff Otto Md, Llc is 9155 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lesley Nicoloff Otto Md, Llc |
|---|---|
| Address | 9155 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032974123 |
| Fax Number | 5032970344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Otto N Lesley |
| Credentials | MD |
| Telephone Number | 5032974123 |
NPI Number Detail
| NPI Number | 1417138769 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2010-12-20 |
Provider Mailing Address Detail
| Address | 9155 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256633 |
| Phone Number | 5032974123 |
| Fax Number | 5032970344 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | MD18878 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73122 | OR | -- | |
| MD18878 | OR | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lesley Nicoloff Otto Md, Llc by the Centers for Medicare & Medicaid Services?
The Lesley Nicoloff Otto Md, Llc has been assigned the NPI (National Provider Identifier) 1417138769 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lesley Nicoloff Otto Md, Llc located?
The Lesley Nicoloff Otto Md, Llc is located at 9155 Sw Barnes Rd, Portland, OR 972256633.
What is the area of specialization for Lesley Nicoloff Otto Md, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lesley Nicoloff Otto Md, Llc is Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207Vg0400X.
On what date did the Lesley Nicoloff Otto Md, Llc receive the assignment of its 1417138769 from the Centers for Medicare & Medicaid Services?
The Lesley Nicoloff Otto Md, Llc was issued its 1417138769 by the Centers for Medicare & Medicaid Services on 2007-11-15.
When was the information regarding Lesley Nicoloff Otto Md, Llc most recently updated?
The details pertaining to the Lesley Nicoloff Otto Md, Llc, including its address, specialty, and other relevant information, were last refreshed on 2010-12-20.
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