NPI 1093121709

Rejuven8 Massage, LLC

Organisation Health Maintenance Organization Salem, OR

Practice location

Address: 388 State St. NE # B60, Salem, OR 97301-3866
Phone: (503) 568-2854
Mailing address: 249 Liberty St NE # B60, Salem, OR 97301-3503

Authorised official

Name: Blake Dunham
Title: Owner/Member
Phone: (503) 568-2854

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 18560 (OR)

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Registry record

NPI: 1093121709
Entity type: Organization
NPI issued: 2 Jul 2014
Record last updated: 2 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.