Blake Dunham

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18560 Issued in OR

Practice address

2367 State St Ste 100
Salem, OR 97301-4505

Phone

(503) 568-2854

Fax

(971) 600-9079

NPI assigned

Apr 5, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Himalayan Body Works, LLC

  dba Aligned Medical Massage

  • Massage Therapist
  • Salem, OR
  • NPI 1063121085
  NPD Authorized official
• Rejuven8 Massage, LLC

  • Health Maintenance Organization
  • Salem, OR
  • NPI 1093121709
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1205415502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 STATE ST STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014505",
            "telephone_number": "503-568-2854",
            "fax_number": "971-600-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 STATE ST STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014505",
            "telephone_number": "503-568-2854",
            "fax_number": "971-600-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2365 Grear St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012747",
            "country_code": "US",
            "telephone_number": "971-273-7177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3990 Cherry Ave NE",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973034888",
            "country_code": "US",
            "telephone_number": "503-568-2854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 Grear St NE Unit A",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012747",
            "country_code": "US",
            "telephone_number": "503-568-2854",
            "fax_number": "971-600-9079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 Chapman Hill Dr NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973042541",
            "country_code": "US",
            "telephone_number": "503-568-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "BLAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vic L Dull, COUNSELOR I
• Tanika Alana Dumas
• Jules Duncan-Martinez
• Amber Celeste Duncan
• Dean M. Duncan, PH.D., LPC, LCPC
• Ryan D Dunkley, PSYD
• Jessica Ann Dunleavy, QMHA-R
• Chris Dunn, PSS
• Kaeleigh Dunn
• Megan Dunn, IBCLC

• Massage Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.