NPI 1144365941

Mark A. Petroff, MD PC

Organisation Plastic Surgery Physician Lake Oswego, OR

Practice location

Address: 17720 Jean Way #100, Lake Oswego, OR 97035-5574
Phone: (503) 635-4886
Fax: (503) 635-1655

Authorised official

Name: Krista Lee Bradley
Title: Clinic Administrator
Phone: (503) 607-1300

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Oregon →

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X

Registry record

NPI: 1144365941
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.