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Organization
AMPLIFE CHIROPRACTIC AND SPORTS CHIROPRACTIC
Active
Organization
AMPLIFE CHIROPRACTIC AND SPORTS CHIROPRACTIC
Active
Other names
AMPLIFE CHIROPRACTIC AND SPORTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER JOSEPH BURKE DC (OWNER)
(208) 340-1573
Entity
Organization
Contact information
Practice address
355 NE 223RD AVE, GRESHAM, OR 97030-8554
(208) 340-1573
Mailing address
16548 NE HALSEY ST APT 113, PORTLAND, OR 97230-8612
(208) 340-1573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5657
OR
Other
Enumeration date
12/05/2015
Last updated
01/10/2016
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