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

Charles Justin Petit, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1356332720

Charles Justin Petit, MD is a Sports Medicine in Lake Oswego, Oregon. Graduated from University of California, San Diego School of Medicine in 2003, 23 years ago. Practices with Orthopedic and Sports Medicine Center of Oregon LLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Trained at
University of California, San Diego School of Medicine
Licensed in
OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17355 Lowr Boones Ferry RD #100A
Lake Oswego, OR 97035-2839
Phone: (503) 224-8399
Fax: (503) 224-5661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5050 Ne Hoyt St Ste 668, Portland, OR 97213-2990 — (503) 224-8399

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence MD29397 (OR)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD29397 (OR)

Record details

NPI number1356332720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESAugust 25, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Orthopedic And Sports Medicine Center Of Oregon Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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