Mark A. Petroff, Md. Pc

Specialty details in registry · Lake Oswego, OR

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At a glance

17720 Jean Way Ste 100, Lake Oswego, OR 97035-5575

NPPES record updated May 7, 2008. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

17720 Jean Way Ste 100
Lake Oswego, OR 97035-5575
Professional details: NPI, taxonomy & registry record
NPI1275607616
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QA1903X
Enumeration date
Nov 18, 2006
Record updated
May 7, 2008
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QA1903X · Primary

License reported: 07-1550 OR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

17720 Jean Way Ste 100
Lake Oswego, OR 97035-5575
Phone
(503) 635-4886
Fax
(503) 635-1655
Mailing address
17720 JEAN WAY STE 100

LAKE OSWEGO, OR 970355575
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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