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

Mark A. Petroff, MD PC

Organization Plastic Surgery Physician · NPI 1144365941

Mark A. Petroff, MD PC is a Plastic Surgery Physician in Lake Oswego, Oregon. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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

17720 Jean Way #100
Lake Oswego, OR 97035-5574
Phone: (503) 635-4886
Fax: (503) 635-1655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X

Record details

NPI number1144365941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Bradley — Clinic Administrator · (503) 607-1300
Other names Petroff Center
NPI enumeratedFebruary 20, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address17720 Jean Way, 100, Lake Oswego, OR 97035-5574

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