Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK A. PETROFF, M.D.
ActiveDR. MARK A. PETROFF, M.D. is a Plastic Surgery within the Head & Neck healthcare provider located in LAKE OSWEGO, Oregon. NPI 1528068129 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1528068129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (21.068156598861 yrs)
- Last Updated
- Mar 7, 2023
- License
-
MD15996 (OR)
Practice Information
- Address
-
17720 JEAN WAYSUITE100LAKE OSWEGO, OR, 970355394Browse OR providers · Browse ZIP 97035
- Phone
- 5036354886
- Fax
- 5036351655
- Primary Specialty
-
Plastic Surgery within the Head & Neck
2082S0099X
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.