NPI 1922473719 · live from the CMS NPI Registry
Amplife Chiropractic And Sports Chiropractic
Chiropractor in Gresham, OR. National Provider Identifier 1922473719, active.
NPI record
| NPI | 1922473719 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 355 Ne 223rd Ave, Gresham, OR 97030 |
| Practice phone | 208-340-1573 |
| Mailing address | 16548 Ne Halsey St Apt 113, Portland, OR 97230 |
| Enumerated | December 5, 2015 |
| Last updated | January 10, 2016 |
| Authorized official | Tyler Burke, Owner |
| Other names | Amplife Chiropractic And Sports |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 5657 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.