Organization
SPARKS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU WILLIAM SPARKS DC (CHIROPRACTIC PHYSICIAN)
(503) 257-3377
Entity
Organization
Contact information
Practice address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(503) 257-3377
(503) 257-3432
Mailing address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(503) 257-3377
(503) 257-3432
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
12/09/2019
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