| Dr Nicholas Petrochko Jr, MD | |
|
9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | |
| (503) 652-2880 | |
| (503) 571-8984 |
| Full Name | Dr Nicholas Petrochko Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 9900 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356352579 | NPI | - | NPPES |
| 2000698 | Other | TN | BLUE CROSS OF TENNESSEE |
| 3013285 | Medicaid | TN | |
| 4535569 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD010073 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Petrochko Jr, MD 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 Ph: (503) 652-2880 | Dr Nicholas Petrochko Jr, MD 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 Ph: (503) 652-2880 |
Dr. James W Dennis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Mary Elizabeth Giswold, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3099 | |
Daniel Alan Ladizinsky, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Kasier Permanente Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-571-3162 Fax: 503-571-3069 | |
Dr. Robert Ludemann, M.D. PH.D. Surgery Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3066 Fax: 503-571-3069 | |
James A Schwarz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Charles Youngjoong Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-786-8435 |