IndividualActive
Clifford Johannsen, PH.D.
NPI 1962627901 · Group Psychotherapy Psychologist · Salem, OR
Provider details
- NPI number
- 1962627901
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0935 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Practice location
635 Church St Ne
Salem, OR 97301-2402
Phone: (503) 399-9691
Fax: (503) 399-9401
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2004
Lake Oswego, OR 97035-0626
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.