MARK A. PETROFF, MD PC
NPI 1144365941
Plastic Surgery in Lake Oswego, OR

Active since February 20, 2007
17720 JEAN WAY, #100, LAKE OSWEGO, OR 97035(503) 635-4886(503) 635-1655 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mark A. Petroff, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A. PETROFF, MD PC (NPI 1144365941), doing business as Petroff Center, is a healthcare organization registered as a plastic surgery in Lake Oswego, Oregon and active in the NPI registry since February 2007. The organization lists Krista Lee Bradley, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1144365941
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMARK A. PETROFF, MD PC
Location Address17720 JEAN WAY, #100Lake Oswego, OR 97035-5574
Mailing Address17720 Jean Way, #100Lake Oswego, OR 97035-5574 · (503) 635-4886 · Fax (503) 635-1655
Fax(503) 635-1655
Organization SubpartNo
Authorized OfficialKrista Lee BradleyClinic Administrator · (503) 607-1300
Enumeration DateFebruary 20, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1144365941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
17720 JEAN WAY, Lake Oswego, OR 97035

Other Names 1

Doing Business AsPetroff Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
17720 JEAN WAY
LAKE OSWEGO, OR 97035
Plastic Surgery (Plastic Surgery Within the Head and Neck)
17720 JEAN WAY, SUITE100
LAKE OSWEGO, OR 97035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark A. Petroff, MD PC's NPI number?

The NPI number for Mark A. Petroff, MD PC is 1144365941. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Petroff Center.

Where is Mark A. Petroff, MD PC located?

Mark A. Petroff, MD PC is located at 17720 Jean Way #100, Lake Oswego, OR 97035. The listed phone number is (503) 635-4886.

What is Mark A. Petroff, MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Mark A. Petroff, MD PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.