Organization
REJUVEN8 MASSAGE, LLC
Active
Organization
REJUVEN8 MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE DUNHAM (OWNER/MEMBER)
(503) 568-2854
Entity
Organization
Contact information
Practice address
388 STATE ST. NE # B60, SALEM, OR 97301-3866
(503) 568-2854
Mailing address
249 LIBERTY ST NE # B60, SALEM, OR 97301-3503
(971) 273-7675
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
18560
OR
Other
Enumeration date
07/02/2014
Last updated
09/02/2016
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