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

Dr. Mark A. Petroff, MD

Individual provider Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1528068129

Dr. Mark A. Petroff, MD is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
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

17720 Jean Way SUITE100
Lake Oswego, OR 97035-5394
Phone: (503) 635-4886
Fax: (503) 635-1655
Show map & directions

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

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary) Taxonomy 2082S0099X · Licence MD15996 (OR)

Record details

NPI number1528068129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESMarch 7, 2023
Mailing address17720 Jean Way, Suite100, Lake Oswego, OR 97035-5394