CHARLES J. PETIT M.D. – NPI #1356332720
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

CHARLES PETIT is an orthopaedic surgeon located in LAKE OSWEGO, OR. NPPES has assigned the NPI number 1356332720 to CHARLES PETIT on November 03, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was last updated on Aug 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES PETIT below.

NPI Profile for
CHARLES J. PETIT

NPI Number
1356332720
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES J. PETIT
Credentials
M.D.
Primary location
17355 LOWER BOONES FERRY RD
#100A
LAKE OSWEGO, OR 97035-2839
Phone: (503) 224-8399 Fax: (503) 224-5661
1 Other location(s):
5050 NE Hoyt St Ste 668
Portland, OR 97213-2990
Phone: (503) 224-8399
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)		 OR MD29397
207X00000X
- Orthopaedic Surgery		 OR MD29397

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE - Graduated 2003
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHARLES PETIT is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY GOOD SAMARITAN MEDICAL CENTER
      1015 NW 22ND AVENUE, W121
      PORTLAND, OR 97210
    • MID-COLUMBIA MEDICAL CENTER
      1700 E 19TH STREET
      THE DALLES, OR 97058
    • PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL
      810 12TH STREET
      HOOD RIVER, OR 97031
    • PROVIDENCE PORTLAND MEDICAL CENTER
      4805 NE GLISAN STREET
      PORTLAND, OR 97213
    • SKYLINE HOSPITAL
      211 SKYLINE DRIVE
      WHITE SALMON, WA 98672

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