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MR. MARK LAWRENCE PIETROK A.T.C.
NPI 1861580540
Specialist/Technologist - Athletic Trainer in Portland, OR

Active since October 10, 2006
0615 SW PALATINE HILL RD, PORTLAND, OR 97219(503) 768-7065(503) 768-7058 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. Mark Lawrence Pietrok A.t.c. NPPES

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

MR. MARK LAWRENCE PIETROK A.T.C. (NPI 1861580540) is an individual athletic trainer provider in Portland, Oregon, licensed in Oregon (AT-AT-125479) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861580540
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. MARK LAWRENCE PIETROKCredential: A.T.C.
Location Address0615 SW PALATINE HILL RDPortland, OR 97219-7879
Mailing Address11149 Sw Matzen DrWilsonville, OR 97070-8574 · (503) 682-1622
Phone(503) 768-7065
Fax(503) 768-7058
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861580540 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-125479
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.
0615 SW PALATINE HILL RD, Portland, OR 97219
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Other Providers at the Same Location NPPES 7

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

DR. KARA POWERS MD
Psychiatry & Neurology (Psychiatry)
0615 SW PALATINE HILL RD, LEWIS AND CLARK COLLEGE COUNSELLING CENTER
PORTLAND, OR 97219
Multnomah County (503) 768-7160
JULIE CAROL RADOSTITZ M.D.
Internal Medicine
0615 SW PALATINE HILL RD
PORTLAND, OR 97219
Multnomah County (503) 768-7165
ELIZABETH RATCLIFF AUSTIN FNP
Nurse Practitioner (Family)
0615 SW PALATINE HILL RD
PORTLAND, OR 97219
Multnomah County (503) 768-7165
JUSTIN LEAK
Marriage & Family Therapist
0615 SW PALATINE HILL RD, MSC 101
PORTLAND, OR 97219
Multnomah County (503) 535-1181
NANCY JANE KALVELAGE N.P.
Nurse Practitioner (Women's Health)
0615 SW PALATINE HILL RD
PORTLAND, OR 97219
Multnomah County (503) 768-7165
MRS. TARA BOATMAN ATC
Specialist/Technologist (Athletic Trainer)
0615 SW PALATINE HILL RD
PORTLAND, OR 97219
Multnomah County (503) 768-7551
NATALIA MCCASKILL M.A.
Marriage & Family Therapist
0615 SW PALATINE HILL RD
PORTLAND, OR 97219
Multnomah County (503) 768-7000

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 Mark Pietrok's NPI number?

The NPI number for Mark Pietrok is 1861580540. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Mark Pietrok located?

Mark Pietrok practices at 0615 SW Palatine Hill Rd, Portland, OR 97219. The listed phone number is (503) 768-7065.

What is Mark Pietrok'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 Mark Pietrok 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.