Healthcare Provider Details

I. General information

NPI: 1700717568
Provider Name (Legal Business Name): NAMASTE MASSAGE AND SPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 CHEMAWA RD N
KEIZER OR
97303-5356
US

IV. Provider business mailing address

156 CHEMAWA RD N
KEIZER OR
97303-5356
US

V. Phone/Fax

Practice location:
  • Phone: 503-999-5960
  • Fax:
Mailing address:
  • Phone: 503-999-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE RENE ALBERS
Title or Position: OWNER
Credential: LMT
Phone: 503-999-5960