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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