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Dr. Mark A. Petroff, MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Lake Oswego, Oregon
NPI 1528068129

Mark A. Petroff is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician based in Lake Oswego, OR and is specialized in Plastic Surgery Within the Head and Neck. Mark A. Petroff practices in Lake Oswego, OR and has the professional credentials of MD. The NPI Number for Mark A. Petroff is 1528068129 and holds a License No. MD15996 (Oregon).

The current practice location address for Mark A. Petroff is 17720 Jean Way, Lake Oswego, OR and can be reached out via phone at 503-635-4886 and via fax at 503-635-1655. You can also correspond with Mark A. Petroff through the mailing address at 17720 JEAN WAY, LAKE OSWEGO, OR - 97035-5394 (mailing address contact number: 503-635-4886).

Location: 17720 Jean Way, Lake Oswego, OR, 97035-5394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528068129
Provider Name
Mark A. Petroff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17720 Jean Way, Lake Oswego, OR, 97035-5394
Phone Number
503-635-4886
Fax Number
503-635-1655
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD15996 01 OR STATE LICENSE
069609 05 OR
institution
Provider Business Practice Location Address Details
Address
17720 Jean Way
City
Lake Oswego
State
Oregon
Zip
97035-5394
Phone Number
503-635-4886
Fax Number
503-635-1655
person
Provider Business Mailing Address Details
Address
17720 Jean Way
City
Lake Oswego
State
Oregon
Zip
97035-5394
Phone Number
503-635-4886
Fax Number
503-635-1655
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
MD15996 (Oregon)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
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