Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Spark of Life Inc

Organization Chiropractor · NPI 1083894034

The Spark of Life Inc provides Chiropractor services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9900 SW Wilshire St Ste 170
Portland, OR 97225-5035 Not confirmed with CMS for 18 years — call before visiting
Phone: (503) 595-1717
Fax: (503) 595-1719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 273520 (OR)

Record details

NPI number1083894034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Fish — Owner/Ceo · (503) 595-1717
NPI enumeratedNovember 7, 2007
Last updated in NPPESAugust 12, 2008
Mailing address9900 Sw Wilshire St, Ste 170, Portland, OR 97225-5035

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