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1982247698
SPARKS CHIROPRACTIC LLC
PORTLAND, OR
NPI
1982247698
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Entity Type
Organization
Authorized Contact
BEAU WILLIAM SPARKS
Chiropractic Physician
503-257-3377
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-10-25
Last Update Date
2019-12-09
Business Address
SPARKS CHIROPRACTIC LLC
11125 NE SANDY BLVD
PORTLAND, OR 97220-2555
Phone number: 503-257-3377
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Mailing Address
SPARKS CHIROPRACTIC LLC
11125 NE SANDY BLVD
PORTLAND, OR 97220-2555
Phone number: 503-257-3377
Copy
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