| Sparks Chiropractic Llc | |
|
11125 Ne Sandy Blvd Portland OR 97220-2555 | |
| (503) 257-3377 | |
| (503) 257-3432 |
| Full Name | Sparks Chiropractic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11125 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Beau William Sparks (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Contact | 5032573377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Chiropractic Llc 11125 Ne Sandy Blvd Portland OR 97220-2555 Ph: (503) 257-3377 | Sparks Chiropractic Llc 11125 Ne Sandy Blvd Portland OR 97220-2555 Ph: (503) 257-3377 |
| NPI Number | 1982247698 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982247698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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