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

Samuel Johnson, ATC

Individual provider Athletic Trainer · NPI 1528475092

Samuel Johnson, ATC is an Athletic Trainer in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

101 Womens Bldg Oregon State University
Corvallis, OR 97331-8577
Phone: (541) 737-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 10117134 (OR)

Record details

NPI number1528475092
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 16, 2014
Last updated in NPPESJuly 16, 2014
Mailing address101 Womens Bldg, Oregon State University, Corvallis, OR 97331-8577

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