Lesley Nicoloff Otto Md, Llc

LBN: Lesley Nicoloff Otto Md, Llc
Lesley Nicoloff Otto Md, Llc is an health care organization with primary practice located at 9155 Sw Barnes Rd Suite 634, Portland OR 97225-6633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Lesley Nicoloff Otto Md, Llc can be contacted via phone (503) 297-4123, or through Otto, Lesley N via phone (503) 297-4123.

Contact Information

Primary practice address
9155 Sw Barnes Rd Suite 634 Portland OR 97225-6633
Phone: (503) 297-4123
Fax: (503) 297-0344
Website:
Map and Directions
Authorized official contact:
Name: Otto, Lesley N Doctor of Medicine (MD)
Phone: (503) 297-4123

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD18878 Oregon

Profile Details

NPI number 1417138769
LBN Legal business name Lesley Nicoloff Otto Md, Llc
DBA Doing business as
Authorized official Otto, Lesley N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated Dec 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417138769 NPPES
Oregon MEDICAID 073122
Oregon Other MD18878

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