Healthcare Provider Details

I. General information

NPI: 1649199050
Provider Name (Legal Business Name): ZOE VASAS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZOE BAUMANN

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6627 14TH AVE NE
KEIZER OR
97303-1871
US

IV. Provider business mailing address

PO BOX 20242
KEIZER OR
97307-0242
US

V. Phone/Fax

Practice location:
  • Phone: 503-302-2201
  • Fax:
Mailing address:
  • Phone: 503-302-2201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29777
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: