Mark A. Petroff, MD PC
NPI 1144365941ActiveOrganization· Plastic Surgery· Lake Oswego, OR
Plastic Surgery in Lake Oswego, Oregon, registered in NPPES in February 2007. The authorized official on file is Krista Lee Bradley, Clinic Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144365941 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
| Plastic Surgery, Plastic Surgery Within the Head and Neck | 2082S0099X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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