Individual provider · Type 1 NPI

Mary P. Johnson, ATC, ATR

Athletic Trainer · Corvallis, OR

NPI number 1790748663 Active

Practice location

6785 SW Janet Way
Corvallis, OR 97333-9318

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X0821645588 (OR)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1790748663

Mary P. Johnson, ATC, ATR's National Provider Identifier is 1790748663, issued on Apr 10, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Corvallis, OR. The record was last updated on Jul 13, 2026.