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

Q: 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.

Q: What is Nicholas Petrochko's specialty?

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

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: August 23, 2026.

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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

DR. SCOTT KEOLA MIYAKE M.D.

Internal Medicine (Nephrology)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

JO M MARTIN MD

Dermatology

9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS
CLACKAMAS, OR 97015

Clackamas County (503) 571-3332

RACHEL BRANDL DO

Orthopaedic Surgery

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

DALE FOSSATI

Physician Assistant (Medical)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-8240

SARAH COX MSW

Counselor (Mental Health)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (971) 235-7583

NOEL M LEE MD

Internal Medicine (Gastroenterology)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

MS. BRENDA LOU BUCK RD

Dietitian, Registered

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-3764

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 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.