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Organization

MARK A. PETROFF, MD. PC

Active
Other names
Petroff Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A PETROFF MD (PRESIDENT)
(503) 607-1304
Entity
Organization

Contact information

Practice address
17720 JEAN WAY STE 100, LAKE OSWEGO, OR 97035-5575
(503) 635-4886
(503) 635-1655
Mailing address
17720 JEAN WAY STE 100, LAKE OSWEGO, OR 97035-5575
(503) 635-4886
(503) 635-1655

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07-1550
OR

Other

Enumeration date
11/18/2006
Last updated
05/07/2008
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