Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Clark Johnson, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1265772974

Jennifer Clark Johnson, OTR/L is a Pediatric Occupational Therapist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

408 NE Hawthorne Ave
Bend, OR 97701-4729
Phone: (541) 604-0548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 1002972 (OR)

Record details

NPI number1265772974
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 18, 2013
Last updated in NPPESFebruary 18, 2013

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