Spark of Life, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SPARK OF LIFE, LLC

Practice address

564 Ray J Glatt Circle
Woodburn, OR 97071

Phone

(971) 707-2506

NPI assigned

Dec 9, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Tamara J Hammack, MPH, LMTNPI 1922719202

Title

Director/Owner

Phone

(971) 707-2506

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara J Hammack, MPH, LMT

  • Massage Therapist
  • Woodburn, OR
  • NPI 1922719202
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1093426132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710337",
            "telephone_number": "971-707-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 RAY J GLATT CIRCLE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "971-707-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-11-24",
        "status": "A",
        "authorized_official_last_name": "HAMMACK",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "971-707-2506",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MPH, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine J Smith, MD
• Katherine Hunter Smith, RN, BSN
• Laura Ann Smith, PHARMD
• Kenneth Solnky
• Dana Spade, MA, LPC
• Gary Eugene Stanford, M.D.
• Richard Henry Steinberg, MD
• Steve Comella Counseling, LLC
• Irina Stignei, O.D.
• Lisa Joy Stoner

• Massage Therapist in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.