Organization · NPI-2

Amplife Chiropractic And Sports Chiropractic

Chiropractor · Gresham, OR

NPI number1922473719
StatusActive
Last updated in NPPESJan 10, 2016

Details

NPI
1922473719
Entity type
Organization (NPI-2)
Legal business name
Amplife Chiropractic And Sports Chiropractic
Organization subpart
No
Enumeration date
Dec 5, 2015
Last updated
Jan 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor5657ORYes

Other names

  • Amplife Chiropractic And Sports (Doing Business As)

Practice location

355 Ne 223rd Ave
Gresham, OR 97030-8554

Phone 208-340-1573

Mailing address

16548 Ne Halsey St Apt 113
Portland, OR 97230-8612

Phone 208-340-1573

Authorized official

Tyler Joseph Burke
Owner
2083401573

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Gresham, OR