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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: August 09, 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 12

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

DR. MARTIN N RAITIERE M.D.
Psychiatry & Neurology (Psychiatry)
9900 SW WILSHIRE ST, SUITE 220
PORTLAND, OR 97225
Washington County (503) 292-4538
PATRICIA HALLAM, LAC, LLC
Clinic/Center (Health Service)
9900 SW WILSHIRE ST, SUITE 190-B
PORTLAND, OR 97225
Washington County (503) 421-9339
MARTIN N RAITIERE MD
Psychiatry & Neurology (Psychiatry)
9900 SW WILSHIRE ST, STE 220
PORTLAND, OR 97225
Washington County (503) 292-4538
AGAPE HOSPICE CARE, INC.
Hospice Care, Community Based
9900 SW WILSHIRE ST, SUITE 170
PORTLAND, OR 97225
Washington County (503) 806-0855
DR. JULIE D. FREDERICK PH.D.
Psychologist (Clinical)
9900 SW WILSHIRE ST, SUITE 160
PORTLAND, OR 97225
Washington County (503) 894-9255
MARYANNE ROSE LCSW
Counselor (Mental Health)
9900 SW WILSHIRE ST, #130
PORTLAND, OR 97225
Washington County (503) 890-1180
DAWN-STARR CROWTHER L.AC., L.M.T.
Acupuncturist
9900 SW WILSHIRE ST, SUITE 190-A
PORTLAND, OR 97225
Washington County (503) 297-3825
MS. KATHY LOUISE LEFOR LPC
Counselor (Professional)
9900 SW WILSHIRE ST, #230
PORTLAND, OR 97225
Washington County (971) 322-8672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Spark Of Life Inc.'s NPI number?

The NPI number for The Spark Of Life Inc. is 1083894034. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is The Spark Of Life Inc. located?

The Spark Of Life Inc. is located at 9900 SW Wilshire St Ste 170, Portland, OR 97225. The listed phone number is (503) 595-1717.

What is The Spark Of Life Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for The Spark Of Life Inc. was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.