OrganizationActive
Vitality Spa LLC
NPI 1417835232 · Medical Specialty Clinic/Center · Keizer, OR
Provider details
- NPI number
- 1417835232
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Garcia, Owner/Advanced Aesthetician(503) 479-7111
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4380 Cherry Ave Ne
Keizer, OR 97303-4855
Phone: (503) 479-7111
Street-level locationGet directions
Mailing address
4380 Cherry Ave Ne
Keizer, OR 97303-4855
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.