MR. Geoffrey Wayne Clark, ATC
NPI #1790751600 in Portland, Oregon
Provider Information
- NPI Number
- 1790751600
- Entity Type
- Individual
- Name
- MR. Geoffrey Wayne Clark, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
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