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MR. GEOFFREY WAYNE CLARK ATC
NPI 1790751600
Specialist/Technologist - Athletic Trainer in Portland, OR

Active since February 28, 2006
7325 SW CHILDS RD, PORTLAND, OR 97224(503) 797-9812(503) 797-9996 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Geoffrey Wayne Clark Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GEOFFREY WAYNE CLARK ATC (NPI 1790751600) is an individual athletic trainer provider in Portland, Oregon, licensed in Oregon (AT-AT-908663) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1790751600
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. GEOFFREY WAYNE CLARKCredential: ATC
Location Address7325 SW CHILDS RDPortland, OR 97224-7713
Mailing Address7325 Sw Childs RdPortland, OR 97224-7713 · (503) 797-9812 · Fax (503) 797-9996
Phone(503) 797-9812
Fax(503) 797-9996
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790751600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in OR · AT-AT-908663
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
7325 SW CHILDS RD, Portland, OR 97224
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE WATKINS LMT
Massage Therapist
7325 SW CHILDS RD
PORTLAND, OR 97224
Washington County (503) 797-9999
KENDRA AUGUSTINE CHANEY ATC
Specialist/Technologist (Athletic Trainer)
7325 SW CHILDS RD
PORTLAND, OR 97224
Washington County (361) 537-8901
MICAH SMITH ATC
Specialist/Technologist (Athletic Trainer)
7325 SW CHILDS RD
PORTLAND, OR 97224
Washington County (317) 504-0593

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Clark's NPI number?

The NPI number for Geoffrey Clark is 1790751600. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Geoffrey Clark located?

Geoffrey Clark practices at 7325 SW Childs Rd, Portland, OR 97224. The listed phone number is (503) 797-9812.

What is Geoffrey Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Geoffrey Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.