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

Lesley Nicoloff Otto, MD

Individual provider Gynecology Physician · NPI 1699729608

Lesley Nicoloff Otto, MD is an Obstetrics/Gynecology in Portland, Oregon. Graduated from University of Minnesota Medical School in 1993, 33 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
33
Trained at
University of Minnesota Medical School
Licensed in
OR, WA
In the registry since
2006
Specialties on file
4
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

9155 SW Barnes Rd Ste 634
Portland, OR 97225-6625
Phone: (503) 297-4123
Fax: (509) 297-0344
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Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence MD18878 (OR)
Gynecology Physician Taxonomy 207VG0400X · Licence MD60636494 (WA)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence MD60636494 (WA)
Gynecology Physician Taxonomy 207VG0400X · Licence MD18878 (OR)

Record details

NPI number1699729608
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESApril 27, 2016

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1993 (33 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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