Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEOFFREY WAYNE CLARK, ATC
ActiveMR. GEOFFREY WAYNE CLARK, ATC is a Athletic Trainer healthcare provider located in PORTLAND, Oregon. NPI 1790751600 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PORTLAND, OR
Registration Details
- NPI Number
- 1790751600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2006 (20.414073991497 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT-AT-908663 (OR)
Practice Information
- Address
-
7325 SW CHILDS RDPORTLAND, OR, 972247713Browse OR providers · Browse ZIP 97224
- Phone
- 5037979812
- Fax
- 5037979996
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER P DENNETT | A.T.C., M.S. | 1497743173 |
| MS. VICTORIA GRACE MOSSE | MA, ATC,PTA | 1104807585 |
| MR. JONATHAN GLENN HUWE | MS, ATCR | 1750344826 |
| JENNIFER ERIN ADAMS | ATC | 1033167838 |
| TREVOR D HOLMAN | ATC | 1477596963 |
| JOEL THOMAS GRAY | AT/R | 1679517254 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.