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DR. NICHOLAS PETROCHKO JR. M.D.
NPI 1356352579
Surgery in Clackamas, OR

Active since August 11, 2006
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 652-2880(503) 571-8984 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nicholas Petrochko Jr. M.d. NPPES

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

DR. NICHOLAS PETROCHKO JR. M.D. (NPI 1356352579) is an individual surgery provider in Clackamas, Oregon, licensed in Tennessee (MD010073) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356352579
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. NICHOLAS PETROCHKO JR.Credential: M.D.
Location Address9900 SE SUNNYSIDE RDClackamas, OR 97015-9777
Mailing Address9900 Se Sunnyside RdClackamas, OR 97015-9777 · (503) 652-2880 · Fax (503) 571-8984
Phone(503) 652-2880
Fax(503) 571-8984
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 20, 2008
✔ NPI 1356352579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD010073
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9900 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Identifiers 5

Other4535569TN · Aetna
Medicaid3013285TN
Other2000698TN · Blue Cross Of Tennessee
Medicare UPIND71819TN
Medicare ID-Type Unspecified3013287TN

Other Providers at the Same Location NPPES 20

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

DR. RONALD LEE LOHMAN MD
Orthopaedic Surgery
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-4227
MRS. AUBREY ANNE JOSLIN PA-C
Physician Assistant (Medical)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-3162
MATTHEW FORSYTH MD
Urology
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-4177
KENNETH MYUNGDEI KANG M.D.
Dermatology
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-0000
DR. ELAINE ROSE GOSSMAN M.D.
Internal Medicine (Gastroenterology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8240
DR. JOSEPH ALAN KANE M.D.
Internal Medicine (Infectious Disease)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-3165
DALE FOSSATI
Physician Assistant (Medical)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8240
ADRIAN B CHOATE PA
Physician Assistant
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-9161

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 Nicholas Petrochko's NPI number?

The NPI number for Nicholas Petrochko is 1356352579. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Nicholas Petrochko located?

Nicholas Petrochko practices at 9900 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Nicholas Petrochko's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Nicholas Petrochko was last updated on February 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.