DR. Nicholas Petrochko JR., M.D.

NPI #1356352579 in Clackamas, Oregon

Provider Information

NPI Number: 1356352579
Entity Type: Individual
Name: DR. Nicholas Petrochko JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Aug 11, 2006
Last Updated: Feb 20, 2008

Practice Location

Address: 9900 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-9777
Phone: (503) 652-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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