MARK LAWRENCE PIETROK

PORTLAND, OR
NPI1861580540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-125479)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Mr. MARK LAWRENCE PIETROK A.T.C.
0615 SW PALATINE HILL RD
PORTLAND, OR 97219-7879
Phone number: 503-768-7065
Mailing Address
Mr. MARK LAWRENCE PIETROK A.T.C.
11149 SW MATZEN DR
WILSONVILLE, OR 97070-8574
Phone number: 503-682-1622
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