Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Spark of Life Inc

Organization Chiropractor · NPI 1083894034

The Spark of Life Inc is a Chiropractor 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
Phone: (503) 595-1717
Fax: (503) 595-1719
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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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