Cari Marie Johnson

Individual provider Active NPI Speech-Language Pathologist · Malin, OR

NPI 1154266641 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1154266641
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
34257 (CA)
Practice address
21406 Harpold Rd
Malin, OR 97632-9700
Phone
(541) 810-1423
NPI assigned
Apr 21, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
34257CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 34257 CA Yes

Addresses

Primary practice location

21406 Harpold Rd
Malin, OR 97632-9700

Mailing address

21406 Harpold Rd
Malin, OR 97632-9700
Phone (541) 810-1423

Other providers in Malin, OR

All providers in Malin, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.