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PETROFF CENTER
NPI 1275607616
Clinic/Center - Ambulatory Surgical in Lake Oswego, OR

Active since November 18, 2006CLIA 38D2077511 · Waiver
17720 JEAN WAY STE 100, LAKE OSWEGO, OR 97035(503) 635-4886(503) 635-1655 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Petroff Center NPPES

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

PETROFF CENTER (NPI 1275607616) is a healthcare organization registered as an ambulatory surgical in Lake Oswego, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Mark A Petroff, President, as its authorized official.

NPPES Registry Identity

NPI1275607616
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMARK A. PETROFF, MD. PC
Location Address17720 JEAN WAY STE 100Lake Oswego, OR 97035-5575
Mailing Address17720 Jean Way Ste 100Lake Oswego, OR 97035-5575 · (503) 635-4886 · Fax (503) 635-1655
Phone(503) 635-4886
Fax(503) 635-1655
Organization SubpartNo
Authorized OfficialMark A PetroffPresident · (503) 607-1304
Enumeration DateNovember 18, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1275607616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OR · 07-1550
17720 JEAN WAY STE 100, Lake Oswego, OR 97035
Open in Google Maps ↗

Other Names 1

Doing Business AsPetroff Center

Other Identifiers 1

Medicare PIN133784OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2077511

Petroff Center · Lake Oswego, OR
Active · expires May 7, 2028
CLIA Number38D2077511
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorMark A Petroff MD
Laboratory Phone(503) 635-4886
Laboratory LocationPetroff Center17720 Jean Way #100, Lake Oswego, OR 97035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JUST RIGHT ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
17720 JEAN WAY STE 100
LAKE OSWEGO, OR 97035
Clackamas County (888) 209-0305
ANDREA L JOHNSON CRNA
Nurse Anesthetist, Certified Registered
17720 JEAN WAY STE 100
LAKE OSWEGO, OR 97035
Clackamas County (888) 209-0305

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 1275607616. It was assigned to this organization in the NPPES registry on November 18, 2006. 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 Ste 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mark A. Petroff, MD. PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2077511) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark A. Petroff, MD. PC was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.