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Blake Dunham
NPI 1205415502 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2367 State St Ste 100
Salem, OR 97301 - Phone
- (503) 568-2854
- Fax
- (971) 600-9079
- Organisation at this address
- Himalayan Body Works, Llc
Michael P Beaver Lcsw IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 2365 Grear St Ne, Salem, OR
- 3990 Cherry Ave Ne, Keizer, OR
- 2375 Grear St Ne Unit A, Salem, OR
- 2270 Chapman Hill Dr Nw, Salem, OR
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon