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Organization

MARK A. PETROFF, MD PC

Active
Other names
Petroff Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTA LEE BRADLEY (CLINIC ADMINISTRATOR)
(503) 607-1300
Entity
Organization

Contact information

Practice address
17720 JEAN WAY, #100, LAKE OSWEGO, OR 97035-5574
(503) 635-4886
(503) 635-1655
Mailing address
17720 JEAN WAY, #100, LAKE OSWEGO, OR 97035-5574
(503) 635-4886
(503) 635-1655

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Other

Enumeration date
02/20/2007
Last updated
09/11/2025
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