Individual
LUKE DANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
547 E PINE ST STE 102, MEDFORD, OR 97502-2444
(541) 245-4444
(541) 200-2269
Mailing address
1744 E MCANDREWS RD STE D, MEDFORD, OR 97504-5576
(541) 414-0362
(541) 200-2269
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23953
OREGON HEALTH DEPARTMENT
OR
Enumeration date
01/29/2021
Last updated
01/29/2021
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