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THE SPARK OF LIFE INC.
NPI 1083894034
Chiropractor in Portland, OR

Active since November 07, 2007
9900 SW WILSHIRE ST, STE 170, PORTLAND, OR 97225(503) 595-1717(503) 595-1719 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Spark Of Life Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SPARK OF LIFE INC. (NPI 1083894034) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since November 2007. The organization lists Randall L. Fish, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1083894034
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTHE SPARK OF LIFE INC.
Location Address9900 SW WILSHIRE ST, STE 170Portland, OR 97225-5035
Mailing Address9900 Sw Wilshire St, Ste 170Portland, OR 97225-5035 · (503) 595-1717 · Fax (503) 595-1719
Phone(503) 595-1717
Fax(503) 595-1719
Organization SubpartNo
Authorized OfficialRandall L. FishOwner/ceo · (503) 595-1717
Enumeration DateNovember 7, 2007
Last NPPES UpdateAugust 12, 2008
✔ NPI 1083894034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 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 interrelationship with other body systems.

9900 SW WILSHIRE ST, Portland, OR 97225
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Other Identifiers 1

Medicare PIN133897OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN-STARR CROWTHER L.AC., L.M.T.
Acupuncturist
9900 SW WILSHIRE ST, SUITE 190-A
PORTLAND, OR 97225
Washington County (503) 297-3825
PATRICIA HALLAM L.AC.
Acupuncturist
9900 SW WILSHIRE ST, SUITE 190-B
PORTLAND, OR 97225
Washington County (503) 421-9339
DR. MARTIN N RAITIERE M.D.
Psychiatry & Neurology (Psychiatry)
9900 SW WILSHIRE ST, SUITE 220
PORTLAND, OR 97225
Washington County (503) 292-4538
MS. KATHY LOUISE LEFOR LPC
Counselor (Professional)
9900 SW WILSHIRE ST, #230
PORTLAND, OR 97225
Washington County (971) 322-8672
EDWARD STANFORD M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
9900 SW WILSHIRE ST, SUITE 260
PORTLAND, OR 97225
Washington County (503) 292-4293
MR. YARLEY NYSTROM L.M.T.
Massage Therapist
9900 SW WILSHIRE ST, SUITE 190-E
PORTLAND, OR 97225
Washington County (503) 756-9076
MARYANNE ROSE LCSW
Counselor (Mental Health)
9900 SW WILSHIRE ST, #130
PORTLAND, OR 97225
Washington County (503) 890-1180
PATRICIA HALLAM, LAC, LLC
Clinic/Center (Health Service)
9900 SW WILSHIRE ST, SUITE 190-B
PORTLAND, OR 97225
Washington County (503) 421-9339

Frequently Asked Questions

What is THE SPARK OF LIFE INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1083894034, enumerated as an "organization" on November 07, 2007.

Where is the provider located?

The provider is located at 9900 SW WILSHIRE ST STE 170 PORTLAND, OR 97225 and the phone number is (503) 595-1717.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does THE SPARK OF LIFE INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.