NPI 1063498830

Michael Kenneth Petrosky

Practitioner Other Technician Washington, DC

Practice location

Address: 2100 2nd St SW Suite 5314, Washington, DC 20593-0002
Phone: (503) 861-6155
Mailing address: 152 W Klaskanine Ave, Astoria, OR 97103-5759

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in District of Columbia →

Registry record

NPI: 1063498830
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2005
Record last updated: 13 Jul 2026

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.