OrganizationActive
Lesley Nicoloff Otto MD, LLC
NPI 1417138769 · Gynecology Physician · Portland, OR
Lesley Nicoloff Otto MD, LLC is a Gynecology Physician organization in Portland, OR (NPI 1417138769).
Provider details
- NPI number
- 1417138769
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lesley Otto, Physician(503) 297-4123
- License
- MD18878 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9155 Sw Barnes Rd
Suite 634
Portland, OR 97225-6633
Phone: (503) 297-4123
Fax: (503) 297-0344
Street-level locationGet directions
Mailing address
9155 Sw Barnes Rd
Portland, OR 97225-6633
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2010-12-20
Frequently asked questions
- What is Lesley Nicoloff Otto MD, LLC's NPI number?
- Lesley Nicoloff Otto MD, LLC's National Provider Identifier (NPI) is 1417138769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lesley Nicoloff Otto MD, LLC?
- Lesley Nicoloff Otto MD, LLC is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Lesley Nicoloff Otto MD, LLC located?
- Lesley Nicoloff Otto MD, LLC's practice location on file with NPPES is 9155 Sw Barnes Rd, Portland, OR 97225-6633.
- What is Lesley Nicoloff Otto MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lesley Nicoloff Otto MD, LLC is (503) 297-4123.
- Who is the authorized official for Lesley Nicoloff Otto MD, LLC?
- The authorized official listed on Lesley Nicoloff Otto MD, LLC's NPPES record is Lesley Otto, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lesley Nicoloff Otto MD, LLC's NPI active?
- Yes — Lesley Nicoloff Otto MD, LLC's NPI (1417138769) is active in the NPPES registry as of the last update on 2010-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.