Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shawn M Johnson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710154356

Mr. Shawn M Johnson, CCC-SLP is a Speech-Language Pathologist in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

815 NW 9th St SUITE180
Corvallis, OR 97330-6173
Phone: (541) 768-5157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 013011 (OR)

Record details

NPI number1710154356
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 13, 2008
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

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