Organization
VITALITY SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R GARCIA CAE (OWNER/ADVANCED AESTHETICIAN)
(503) 479-7111
Entity
Organization
Contact information
Practice address
4380 CHERRY AVE NE, KEIZER, OR 97303-4855
(503) 479-7111
Mailing address
4380 CHERRY AVE NE, KEIZER, OR 97303-4855
(503) 479-7111
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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