BLAKE DUNHAM
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1205415502- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2367 STATE ST STE 100, SALEM, OR, 973014505
- Phone
- (503) 568-2854
- Fax
- (971) 600-9079
Specialties & Taxonomies
Massage Therapist
Primary License: OR #18560