National Provider Identifier Database

MARK A PETROFF, MD – NPI #1528068129
Plastic Surgery Within the Head and Neck

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.


Contact Information

MARK A PETROFF, MD
17720 JEAN WAY
SUITE100
LAKE OSWEGO, OR97035-5394
Phone: 503-635-4886
Fax: 503-635-1655
Website:
Specialty Taxonomy Code
* Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for MARK A PETROFF

NPI Number 1528068129
Credentials MD
Entity Individual
Enumeration date 07/26/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • OR License #: MD15996
  • OR Medicaid: 069609
  • OR Other: MD15996 STATE LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MARK A PETROFF, MD

There are currently no reviews for MARK A PETROFF, MD


NPIdb - Home
v2.201