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

Joseph L. Petrusek, MD, PC

Organization Otolaryngology Physician · NPI 1164553285

Joseph L. Petrusek, MD, PC is an Otolaryngology Physician in LA Grande, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Sunset Dr Ste D
LA Grande, OR 97850-1200
Phone: (541) 963-8643
Fax: (541) 963-5845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD09444 (OR)

Record details

NPI number1164553285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Petrusek — Owner · (541) 963-8643
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address710 Sunset Dr, Ste. D, La Grande, OR 97850-1200

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