1. Home
  2. Directory
  3. Oregon
  4. Keizer
  5. Clinic Center
  6. NPI Profile

VITALITY SPA LLC
NPI 1417835232
Clinic/Center - Medical Specialty in Keizer, OR

Active since August 21, 2025
4380 CHERRY AVE NE, KEIZER, OR 97303(503) 479-7111 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitality Spa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY SPA LLC (NPI 1417835232) is a healthcare organization registered as a medical specialty in Keizer, Oregon and active in the NPI registry since August 2025. The organization lists Paul R Garcia, Owner/advanced Aesthetician, as its authorized official.

NPPES Registry Identity

NPI1417835232
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameVITALITY SPA LLC
Location Address4380 CHERRY AVE NEKeizer, OR 97303-4855
Mailing Address4380 Cherry Ave NeKeizer, OR 97303-4855 · (503) 479-7111
Phone(503) 479-7111
Organization SubpartNo
Authorized OfficialPaul R GarciaOwner/advanced Aesthetician · (503) 479-7111
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1417835232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4380 CHERRY AVE NE, Keizer, OR 97303
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY J YANKOVIC NP
Nurse Practitioner (Adult Health)
4380 CHERRY AVE NE
KEIZER, OR 97303
Marion County (907) 841-0849
PAUL RICHARD GARCIA CAE
Technician, Other
4380 CHERRY AVE NE
KEIZER, OR 97303
Marion County (503) 479-7111
CASSANDRA L AGLIETTI LCSW
Social Worker (Clinical)
4380 CHERRY AVE NE
KEIZER, OR 97303
Marion County (971) 458-3084
EVERGREEN THERAPY & TRAUMA SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
4380 CHERRY AVE NE
KEIZER, OR 97303
Marion County (971) 458-3064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Spa LLC's NPI number?

The NPI number for Vitality Spa LLC is 1417835232. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Vitality Spa LLC located?

Vitality Spa LLC is located at 4380 Cherry Ave NE, Keizer, OR 97303. The listed phone number is (503) 479-7111.

What is Vitality Spa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Vitality Spa LLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.