SAMUEL JOHNSON

CORVALLIS, OR
NPI1528475092
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  10117134)
Enumeration Date2014-07-16
Last Update Date2014-07-16
Business Address
-- SAMUEL JOHNSON ATC
101 WOMENS BLDG OREGON STATE UNIVERSITY
CORVALLIS, OR 97331-8577
Phone number: 541-737-6801
Mailing Address
-- SAMUEL JOHNSON ATC
101 WOMENS BLDG OREGON STATE UNIVERSITY
CORVALLIS, OR 97331-8577
Phone number:
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