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

Dr. Luis Benito Otero Jr., MD

Individual provider Family Medicine Physician · NPI 1679569511

Dr. Luis Benito Otero Jr., MD is a Family Practice in Portland, Oregon. Graduated from University of Miami, Lm Miller School of Medicine in 2001, 25 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Virginia.

Years since qualifying
25
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
OR, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 NE 102nd Ave
Portland, OR 97220-3804
Phone: (210) 292-2055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD223102 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101268285 (VA)

Record details

NPI number1679569511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2005
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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