Individual
DR. CLIFFORD ALAN JOHANNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
635 CHURCH ST NE, SALEM, OR 97301-2402
(503) 399-9691
(503) 399-9401
Mailing address
PO BOX 2004, LAKE OSWEGO, OR 97035-0626
(503) 246-5986
(503) 246-8050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0935
OR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0935
OR
103TB0200X
Cognitive & Behavioral Psychologist
0935
OR
103TC0700X
Clinical Psychologist
0935
OR
103TC2200X
Clinical Child & Adolescent Psychologist
0935
OR
103TF0200X
Forensic Psychologist
0935
OR
103TP2701X
Group Psychotherapy Psychologist
Primary
0935
OR
106H00000X
Marriage & Family Therapist
0935
OR
Other
Enumeration date
04/16/2007
Last updated
09/11/2025
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