MR. GEOFFREY CLARK, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1790751600
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | AT-AT-908663 (OR) |
Frequently Asked Questions
NPI 1790751600 is the National Provider Identifier for MR. GEOFFREY CLARK, ATC, a Specialist/Technologist - Athletic Trainer provider located in Portland, OR. This NPI was enumerated on February 28, 2006.
MR. GEOFFREY CLARK, ATC practices at 7325 SW CHILDS RD, Portland, OR 97224.
Quick Facts
- NPI
- 1790751600
- Type
- Individual
- Enumerated
- Feb 28, 2006
- Last Updated
- Jul 8, 2007
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