THE SPARK OF LIFE CHIROPRACTIC & WELLNESS
NPI 1710161021
Chiropractor in Milwaukie, OR

Q: What is The Spark Of Life Chiropractic & Wellness's specialty?

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

Active since December 21, 2007

2025 SE JEFFERSON ST, MILWAUKIE, OR 97222(503) 654-5433(503) 654-5439 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Spark Of Life Chiropractic & Wellness NPPES

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

THE SPARK OF LIFE CHIROPRACTIC & WELLNESS (NPI 1710161021) is a healthcare organization registered as a chiropractor in Milwaukie, Oregon and active in the NPI registry since December 2007. The organization lists Randall L Fish, Owner, as its authorized official.

NPPES Registry Identity

NPI1710161021

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTHE SPARK OF LIFE CHIROPRACTIC & WELLNESS

Location Address2025 SE JEFFERSON STMilwaukie, OR 97222-7605

Mailing Address2025 Se Jefferson StMilwaukie, OR 97222-7605 · (503) 654-5433 · Fax (503) 654-5439

Phone(503) 654-5433

Fax(503) 654-5439

Organization SubpartNo

Authorized OfficialRandall L FishOwner · (503) 654-5433

Enumeration DateDecember 21, 2007

✔ NPI 1710161021 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.

2025 SE JEFFERSON ST, Milwaukie, OR 97222

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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 4

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

VANESSA KAPKA LMT

Massage Therapist

2025 SE JEFFERSON ST
MILWAUKIE, OR 97222

Clackamas County (503) 709-0598

RANDALL L FISH DC

Chiropractor

2025 SE JEFFERSON ST
MILWAUKIE, OR 97222

Clackamas County (503) 654-5433

THE GROUNDING TOUCH

Massage Therapist

2025 SE JEFFERSON ST
MILWAUKIE, OR 97222

Clackamas County (971) 409-9241

SHALENA DAWN HAVENS LAC

Acupuncturist

2025 SE JEFFERSON ST
MILWAUKIE, OR 97222

Clackamas County (503) 886-9708

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 Chiropractic & Wellness's NPI number?

The NPI number for The Spark Of Life Chiropractic & Wellness is 1710161021. It was assigned to this organization in the NPPES registry on December 21, 2007.

Where is The Spark Of Life Chiropractic & Wellness located?

The Spark Of Life Chiropractic & Wellness is located at 2025 SE Jefferson St, Milwaukie, OR 97222. The listed phone number is (503) 654-5433.

What is The Spark Of Life Chiropractic & Wellness'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 Chiropractic & Wellness was last updated on December 21, 2007. 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.