OrganizationActive
The Spark of Life Inc.
NPI 1083894034 · Chiropractor · Portland, OR
Provider details
- NPI number
- 1083894034
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Randall Fish, Owner/Ceo(503) 595-1717
- License
- 273520 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9900 Sw Wilshire St
Ste 170
Portland, OR 97225-5035
Phone: (503) 595-1717
Fax: (503) 595-1719
Street-level locationGet directions
Mailing address
9900 Sw Wilshire St
Portland, OR 97225-5035
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.