Healthcare Provider Details

I. General information

NPI: 1568378263
Provider Name (Legal Business Name): DEBORAH LYNN ALBRECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 PACIFIC WAY
SEASIDE OR
97138-4106
US

IV. Provider business mailing address

673 PACIFIC WAY
SEASIDE OR
97138-4106
US

V. Phone/Fax

Practice location:
  • Phone: 541-507-7780
  • Fax:
Mailing address:
  • Phone: 541-507-7780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number6808
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: