Organization
SALEM MEDICAL MASSAGE, LLC
Active
Organization
SALEM MEDICAL MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE GARRETT DUNHAM (OWNER)
(503) 877-7389
Entity
Organization
Contact information
Practice address
249 LIBERTY ST NE # B60, SALEM, OR 97301-3503
(503) 877-7389
Mailing address
249 LIBERTY ST. NE #B60, SALEM, OR 97301
(503) 877-7389
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
18560
OR
Other
Enumeration date
10/20/2016
Last updated
02/18/2017
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