Organization · Type 2 NPI

The Spark of Life Inc.

Chiropractor · Portland, OR

NPI number 1083894034 Active

Practice location

9900 SW Wilshire St, Ste 170
Portland, OR 97225-5035

Call (503) 595-1717 Map

Fax (503) 595-1719

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X273520 (OR)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1083894034

The Spark of Life Inc.'s National Provider Identifier is 1083894034, issued on Nov 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Aug 12, 2008.