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Dr. Mark A. Petroff, M.D.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Lake Oswego, OR · enumerated 2005 · practices at Mark A. Petroff, MD PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528068129

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark A. Petroff
Credential M.D.
Sex Male
Practice address 17720 Jean Way, Suite100, Lake Oswego, OR, 97035
Phone (503) 635-4886
Fax (503) 635-1655
Enumeration date Jul 26, 2005
Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Allopathic & Osteopathic Physicians · License MD15996 (OR) Primary
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
MD15996 Other OR STATE LICENSE
069609 Medicaid OR -

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.

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Frequently asked questions

Where does Mark Petroff practice?
The practice location on file with NPPES is in Lake Oswego, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Petroff?
The National Provider Identifier (NPI) for Mark Petroff is 1528068129, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.