The Spark Of Life Inc. in Portland - Chiropractor
The Spark Of Life Inc. - NPI 1083894034
The Spark Of Life Inc. is a Chiropractor in Portland, Oregon. The Spark Of Life Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for The Spark Of Life Inc. is 1083894034. The last update date is 2008-08-12.
The Spark Of Life Inc.'s current location address is 9900 Sw Wilshire St, Portland, Oregon. You can contact this provider via phone number 5035951717 and fax number 5035951719. The mailing address for The Spark Of Life Inc. is 9900 Sw Wilshire St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Spark Of Life Inc. |
---|---|
Address | 9900 Sw Wilshire St, Portland, Oregon |
Phone Number | 5035951717 |
Fax Number | 5035951719 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/CEO |
---|---|
Authorized Official Name | Fish L. Randall |
Credentials | D.C. |
Telephone Number | 5035951717 |
NPI Number Detail
NPI Number | 1083894034 |
---|---|
Provider Enumeration Date | 2007-11-07 |
Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
Address | 9900 Sw Wilshire St |
---|---|
City | Portland |
State | Oregon (OR) |
Post Code | 972255035 |
Phone Number | 5035951717 |
Fax Number | 5035951719 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
---|---|
Taxonomy | 111N00000X |
Licence No | 273520 |
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 |
Post Comment/ Review Below
What is the The Spark Of Life Inc.'s 1083894034?
The The Spark Of Life Inc.'s NPI (National Provider Identifier) Number is 1083894034. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the The Spark Of Life Inc.'s physical address?
The The Spark Of Life Inc. is physically located at 9900 Sw Wilshire St, in the city of Portland, OR, with the postal code 972255035.
What is The Spark Of Life Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The The Spark Of Life Inc.'s specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did the The Spark Of Life Inc. receive its 1083894034?
The The Spark Of Life Inc. was issued its 1083894034 on 2007-11-07, which is the date when the organization was assigned this unique identifier.
When was the information related to The Spark Of Life Inc. most recently updated or refreshed?
The details pertaining to the The Spark Of Life Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-12.