Mark A Petroff (NPI# 1528068129, PAC ID# 3173419850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1528068129 |
| PAC ID by PECOS | 3173419850 |
| Professional Enrollment ID | I20060123000014 |
| Full Name | Mark A Petroff |
| Address |
17720 Jean Way Suite 100 Lake Oswego OR 97035-5575 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17720 Jean Way, Suite 100, Lake Oswego, OR 97035-5575 |
| Street Address |
17720 JEAN WAY SUITE 100 |
| City | LAKE OSWEGO |
| State | OR |
| Zip | 97035-5575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla M Klein | Dermatology | 5200 Sw Meadows Rd, Suite 250, Lake Oswego, OR 97035-0066 | |
| Cynthia S Steinhauser | Clinical Social Worker | 11830 Kerr Pkwy, Suite 370, Lake Oswego, OR 97035-1228 | |
| Dominique Marguerite | Psychologist, Clinical | 22 Botticelli St, Lake Oswego, OR 97035-1303 | |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Colleen A Finnegan | Internal Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Devn Brown | Physical Therapy | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Herbert H Lim | Family Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Mary Beth Brown | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Muthoni K Ehmann | Physician Assistant | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Jessica A Nicoud | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Find all physicians in zip 97035 | |||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | LAKE OSWEGO + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Mark A Petroff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.