NPI 1215488671

Salem Medical Massage, LLC

Organisation Health Maintenance Organization Salem, OR

Practice location

Address: 249 Liberty St NE # B60, Salem, OR 97301-3503
Phone: (503) 877-7389
Mailing address: 249 Liberty St. NE #b60, Salem, OR 97301

Authorised official

Name: Blake Garrett Dunham
Title: Owner
Phone: (503) 877-7389

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 18560 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1215488671
Entity type: Organization
NPI issued: 20 Oct 2016
Record last updated: 18 Feb 2017

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.