IndividualActive
Blake Dunham
NPI 1205415502 · Massage Therapist · Salem, OR
Provider details
- NPI number
- 1205415502
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18560 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2367 State St Ste 100
Salem, OR 97301-4505
Phone: (503) 568-2854
Fax: (971) 600-9079
Street-level locationGet directions
Mailing address
2367 State St Ste 100
Salem, OR 97301-4505
Additional practice locations (4)
- 3990 Cherry Ave NeKeizer, OR 97303-4888Phone: (503) 568-2854
- 2375 Grear St Ne Unit aSalem, OR 97301-2747Phone: (503) 568-2854Fax: (971) 600-9079
- 2365 Grear St NeSalem, OR 97301-2747Phone: (971) 273-7177
- 2270 Chapman Hill Dr NwSalem, OR 97304-2541Phone: (503) 568-2854
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.