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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES JUSTIN PETIT, M.D.

Active

CHARLES JUSTIN PETIT, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in LAKE OSWEGO, Oregon. NPI 1356332720 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · LAKE OSWEGO, OR

Registration Details

NPI Number
1356332720
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2005 (20.742060533655 yrs)
Last Updated
Aug 25, 2025
Licenses
MD29397 (OR)
MD29397 (OR)

Practice Information

Address
17355 LOWER BOONES FERRY RD
#100A
LAKE OSWEGO, OR, 970352839
Browse OR providers · Browse ZIP 97035
Phone
5032248399
Fax
5032245661
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Additional Specialty
Orthopaedic Surgery

Other Adult Reconstructive Orthopaedic Surgery Providers in LAKE OSWEGO, OR

Name Credential NPI
DR. DEREK EDWARD LAMPRECHT D.O. 1235179656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.