Individual
LEON R DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
340 SW 2ND ST STE 4, CORVALLIS, OR 97333-4650
(541) 753-8171
Mailing address
734 SW 13TH ST, CORVALLIS, OR 97333-4236
(541) 753-8171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3961
OR
Other
Enumeration date
06/26/2007
Last updated
12/11/2013
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