IndividualActive
Mark Pietrok, A.T.C.
NPI 1861580540 · Athletic Trainer · Portland, OR
Provider details
- NPI number
- 1861580540
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- A.T.C.
- Sex
- Male
- Sole proprietor
- No
- License
- AT-AT-125479 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
0615 Sw Palatine Hill Rd
Portland, OR 97219-7879
Phone: (503) 768-7065
Fax: (503) 768-7058
Street-level locationGet directions
Mailing address
11149 Sw Matzen Dr
Wilsonville, OR 97070-8574
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.