MR. GEOFFREY WAYNE CLARK (ATC) – Athletic Trainer, NPI 1790751600

MR. GEOFFREY WAYNE CLARK (ATC) is a healthcare provider. based in Portland, Oregon. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. AT-AT-908663 (OR). The NPI Number for MR. GEOFFREY WAYNE CLARK (ATC) is 1790751600

Main info

Male
Name
MR. GEOFFREY WAYNE CLARK (ATC)
NPI
1790751600
Phone
(503) 797-9812
Address
7325 SW CHILDS RD
Enumeration Date
28 February 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GEOFFREY WAYNE CLARK (ATC)

  • Portland Trail Blazers Practice Facility, 7325, Southwest Childs Road, Bridgeport, Tigard, Washington County, Oregon, 97224, United States

    PORTLAND, OR 972247713

    Phone: (503) 797-9812

    Fax: (503) 797-9996

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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Reviews

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Frequently asked questions

Can I cross-check MR. GEOFFREY WAYNE CLARK (ATC) using NPI 1790751600?
NPI 1790751600 belongs to MR. GEOFFREY WAYNE CLARK (ATC); compare other details if you need extra assurance.
Is MR. GEOFFREY WAYNE CLARK (ATC) still an active registrant?
MR. GEOFFREY WAYNE CLARK (ATC) carries an active NPI according to the public dataset.
What kind of doctor is MR. GEOFFREY WAYNE CLARK (ATC)?
MR. GEOFFREY WAYNE CLARK (ATC) is associated with Athletic Trainer in the directory — Clinical services aligned with this taxonomy classification.
Is MR. GEOFFREY WAYNE CLARK (ATC) associated with Portland?
Public fields place MR. GEOFFREY WAYNE CLARK (ATC) around Portland, Oregon. Always confirm the exact site before visiting.
Does MR. GEOFFREY WAYNE CLARK (ATC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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