Blake, Michelle L
Blake, Michelle L is an individual health care provider with primary practice located at 580 Ewald Ave Se , Salem OR 97302-3811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blake, Michelle L can be contacted via phone (503) 391-1092.Contact Information
Primary practice address
580 Ewald Ave Se
Salem OR 97302-3811
Phone: (503) 391-1092
Fax: (503) 363-7424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 4657 | Oregon |
Profile Details
| NPI number | 1235125857 |
|---|---|
| LBN Legal business name | Blake, Michelle L |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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