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

Mr. Mark Lawrence Pietrok, ATC

Individual provider Athletic Trainer · NPI 1861580540

Mr. Mark Lawrence Pietrok, 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.

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Practice location Address checks out

0615 SW Palatine Hill Rd
Portland, OR 97219-7879
Phone: (503) 768-7065
Fax: (503) 768-7058
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-125479 (OR)

Record details

NPI number1861580540
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESJuly 8, 2007

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