The Spark Of Life Chiropractic & Wellness in Milwaukie - Chiropractor
The Spark Of Life Chiropractic & Wellness - NPI 1710161021
The Spark Of Life Chiropractic & Wellness is a Chiropractor in Milwaukie, Oregon. The Spark Of Life Chiropractic & Wellness practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for The Spark Of Life Chiropractic & Wellness is 1710161021. The last update date is 2007-12-21.
The Spark Of Life Chiropractic & Wellness's current location address is 2025 Se Jefferson St, Milwaukie, Oregon. You can contact this provider via phone number 5036545433 and fax number 5036545439. The mailing address for The Spark Of Life Chiropractic & Wellness is 2025 Se Jefferson St, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Spark Of Life Chiropractic & Wellness |
|---|---|
| Address | 2025 Se Jefferson St, Milwaukie, Oregon |
| Phone Number | 5036545433 |
| Fax Number | 5036545439 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fish L Randall |
| Credentials | D.C. |
| Telephone Number | 5036545433 |
NPI Number Detail
| NPI Number | 1710161021 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 2025 Se Jefferson St |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 972227605 |
| Phone Number | 5036545433 |
| Fax Number | 5036545439 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 273520 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to The Spark Of Life Chiropractic & Wellness by the Centers for Medicare & Medicaid Services?
The The Spark Of Life Chiropractic & Wellness has been assigned the NPI (National Provider Identifier) 1710161021. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where The Spark Of Life Chiropractic & Wellness is located?
The The Spark Of Life Chiropractic & Wellness is situated at the following address: 2025 Se Jefferson St, Milwaukie, OR, 972227605.
What is the area of specialization for The Spark Of Life Chiropractic & Wellness, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for The Spark Of Life Chiropractic & Wellness is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the The Spark Of Life Chiropractic & Wellness receive the assignment of its 1710161021 from the Centers for Medicare & Medicaid Services?
The The Spark Of Life Chiropractic & Wellness was issued its 1710161021 by the Centers for Medicare & Medicaid Services on 2007-12-21.
When was the information pertaining to The Spark Of Life Chiropractic & Wellness most recently updated or revised?
The details related to The Spark Of Life Chiropractic & Wellness, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-21.