Lesley Nicoloff Otto in Portland - Female Pelvic Medicine And Reconstructive Surgery
Lesley Nicoloff Otto - NPI 1699729608
Lesley Nicoloff Otto is a Female Pelvic Medicine And Reconstructive Surgery in Portland, Oregon. Lesley Nicoloff Otto practices all healthcare services and medical treatments related to Female Pelvic Medicine And Reconstructive Surgery. The NPI Number for Lesley Nicoloff Otto is 1699729608. The last update date is 2016-04-27.
Lesley Nicoloff Otto's current location address is 847 Ne19th, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Lesley Nicoloff Otto is 847 Ne19th, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lesley Nicoloff Otto |
|---|---|
| Address | 847 Ne19th, Portland, Oregon |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699729608 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2016-04-27 |
Provider Mailing Address Detail
| Address | 847 Ne19th |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97232 |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
| Speciality | Female Pelvic Medicine And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Vf0040X |
| Licence No | MD60636494 |
|
Definition: A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with compl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73122 | OR | -- | |
| MD18878 | OR | LICENSE | |
| 2038459 | WA | -- | |
| 1699729608 | WA | -- | |
| 931237109 | OR | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lesley Nicoloff Otto by the Centers for Medicare & Medicaid Services?
The Lesley Nicoloff Otto has been assigned the NPI (National Provider Identifier) 1699729608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lesley Nicoloff Otto's facilities are situated?
The facilities of Lesley Nicoloff Otto are physically located at the following address: 847 Ne19Th, Portland, OR, 97232.
What is the Lesley Nicoloff Otto's area of specialization and corresponding taxonomy classification?
The Lesley Nicoloff Otto's specialty field is Female Pelvic Medicine And Reconstructive Surgery, and it falls under the taxonomy code 207Vf0040X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1699729608 to Lesley Nicoloff Otto?
The Lesley Nicoloff Otto received its 1699729608 assignment from the Centers for Medicare & Medicaid Services on 2006-05-22.
As of what date were the details related to Lesley Nicoloff Otto most recently updated or revised?
The information pertaining to Lesley Nicoloff Otto, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-27.