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1356352579
NICHOLAS PETROCHKO
CLACKAMAS, OR
NPI
1356352579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TN MD010073)
Enumeration Date
2006-08-11
Last Update Date
2008-02-20
Business Address
Dr. NICHOLAS PETROCHKO M.D.
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-652-2880
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Mailing Address
Dr. NICHOLAS PETROCHKO M.D.
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-652-2880
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