Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205415502 Individual Practitioner Male Practitioner

Blake Dunham

Massage Therapist • Salem, OR

Professional Overview & Biography Verified Profile Summary

Blake Dunham is a registered healthcare professional specializing in Massage Therapist in Salem, OR. Practice services are available at 2367 STATE ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2367 State St Ste 100

Salem, OR 973014505

Telephone 5035682854
Fax 9716009079
Associated Practice Facility / Clinic
🏢 Michael P Beaver Lcsw Inc Facility NPI 1194867382

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
244 Specialists

Practicing in Salem, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-15
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 18560

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Secondary Practice Locations

3990 Cherry Ave Ne

Keizer, OR 973034888

Phone: 5035682854

2365 Grear St Ne

Salem, OR 973012747

Phone: 9712737177

2270 Chapman Hill Dr Nw

Salem, OR 973042541

Phone: 5035682854

2375 Grear St Ne Unit A

Salem, OR 973012747

Phone: 5035682854

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Haley Drew , LMT

Massage Therapist

NPI 1043999121

Licensed Massage Therapist

Hope Cammack , LMT

Massage Therapist

NPI 1194409573

Licensed Massage Therapist

Janet Cook , LMT

Massage Therapist

NPI 1235881582

Licensed Massage Therapist

Theresa Lapierre , LMT

Massage Therapist

NPI 1447930987

Licensed Massage Therapist

Samuel Schwartz , LMT

Massage Therapist

NPI 1881438265

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 15, 2023

Registered at 2367 STATE ST STE 100, SALEM, OR 973014505 (Tel: 5035682854)

📍
Updated Business Mailing Address June 15, 2023

Registered at 2367 STATE ST STE 100, SALEM, OR 973014505 (Tel: 5035682854)

📍
Updated Practice Location January 24, 2023

Registered at 2375 GREAR ST NE UNIT A, SALEM, OR 973012747 (Tel: 5035682854)

NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2021

Registered at 2270 CHAPMAN HILL DR NW, SALEM, OR 973042541 (Tel: 5035682854)

📍
Updated Business Mailing Address April 05, 2021

Registered at 2270 CHAPMAN HILL DR NW, SALEM, OR 973042541 (Tel: 5035682854)

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as BLAKE DUNHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Massage Therapist (License #18560 in OR)

🟢
Initial NPI Registration & Enumeration April 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205415502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: June 15, 2023
Sole Proprietor: Yes

Mailing Address

2367 State St Ste 100

Salem, OR 973014505

Phone: 5035682854

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.