Individual
MR. BENJAMIN GRUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1230 CALYPSO CT STE 1, ASHLAND, OR 97520-1594
(541) 821-6550
Mailing address
1233 CALYPSO CT, ASHLAND, OR 97520-1594
(541) 821-6550
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
9273
OR
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
9273
OR
Other
Enumeration date
01/26/2007
Last updated
11/02/2022
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