Organization · Type 2 NPI
Mark A. Petroff, Md. PC
Ambulatory Surgical Clinic/Center · Lake Oswego, OR
NPI number
1275607616
Active
Practice location
17720 Jean Way Ste 100
Lake Oswego, OR 97035-5575
Fax (503) 635-1655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 07-1550 (OR) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1275607616
Mark A. Petroff, Md. PC's National Provider Identifier is 1275607616, issued on Nov 18, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lake Oswego, OR. The record was last updated on May 7, 2008.