Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Nicholas Petrochko Jr., M.D.
Surgery Physician in Clackamas, OR · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1356352579
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Registry record
Entity type Individual (Type 1)
Name Dr. Nicholas Petrochko Jr.
Credential M.D.
Sex Male
Practice address 9900 Se Sunnyside Rd, Clackamas, OR, 97015
Phone (503) 652-2880
Fax (503) 571-8984
Enumeration date Aug 11, 2006
Last updated in NPPES Feb 20, 2008
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000698 | Other | TN | BLUE CROSS OF TENNESSEE |
| 3013285 | Medicaid | TN | - |
| 4535569 | Other | TN | AETNA |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Nicholas Petrochko practice?
The practice location on file with NPPES is in Clackamas, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Nicholas Petrochko?
The National Provider Identifier (NPI) for Nicholas Petrochko is 1356352579, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Ronald Hapke Gastroenterology Physician · Clackamas, OR NPI 1841290699 Tony Clinton-Merrell Dermatology Physician · Clackamas, OR NPI 1982675690 Ronald Lohman Orthopaedic Surgery Physician · Clackamas, OR NPI 1003889403 Christopher Moran Surgical Oncology Physician · Clackamas, OR NPI 1679503825 James Skavaril Internal Medicine Physician · Clackamas, OR NPI 1336172956 Aubrey Joslin Medical Physician Assistant · Clackamas, OR NPI 1740204627 Cynthia Tai Nephrology Physician · Clackamas, OR NPI 1336154830 Matthew Forsyth Urology Physician · Clackamas, OR NPI 1598778060
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-20.