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

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