Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Geoffrey Wayne Clark, ATC

Individual provider Athletic Trainer · NPI 1790751600

Mr. Geoffrey Wayne Clark, ATC is an Athletic Trainer in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

7325 SW Childs Rd
Portland, OR 97224-7713
Phone: (503) 797-9812
Fax: (503) 797-9996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-AT-908663 (OR)

Record details

NPI number1790751600
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJuly 8, 2007

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