1922473719 NPI number — AMPLIFE CHIROPRACTIC AND SPORTS CHIROPRACTIC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922473719 NPI number — AMPLIFE CHIROPRACTIC AND SPORTS CHIROPRACTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMPLIFE CHIROPRACTIC AND SPORTS CHIROPRACTIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922473719
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16548 NE HALSEY ST APT 113
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97230-8612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-340-1573
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 NE 223RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRESHAM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97030-8554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-340-1573
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BURKE
Authorized Official First Name:
TYLER
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
208-340-1573

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  5657 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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