Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL JOHNSON, ATC
Active Sole ProprietorSAMUEL JOHNSON, ATC is a Athletic Trainer healthcare provider located in CORVALLIS, Oregon. NPI 1528475092 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CORVALLIS, OR
Registration Details
- NPI Number
- 1528475092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2014 (12.036540732123 yrs)
- Last Updated
- Jul 16, 2014
- License
-
10117134 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 WOMENS BLDGOREGON STATE UNIVERSITYCORVALLIS, OR, 973318577Browse OR providers · Browse ZIP 97331
- Phone
- 5417376801
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| MICHAEL PAUL SANDAGO | ATC | 1144295734 |
| MARY P JOHNSON | ATC, ATR | 1790748663 |
| MR. GUIDO VAN RYSSEGEM | ATC | 1922144252 |
| DAVID STRICKLIN | MS, ATC | 1629113998 |
| HEATHER ALICESON ELKINTON | MS, ATC | 1790813996 |
| MINDY S DEPUE | ATC | 1083744593 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.