NPI 1528068129

Mark A. Petroff, MD

Practitioner Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Lake Oswego, OR

Practice location

Address: 17720 Jean Way Suite100, Lake Oswego, OR 97035-5394
Phone: (503) 635-4886
Fax: (503) 635-1655

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence MD15996 (OR)

Other Plastic Surgery providers in Oregon →

Registry record

NPI: 1528068129
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2005
Record last updated: 7 Mar 2023

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.