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Amplife Chiropractic and Sports Chiropractic

Organization Active NPI Chiropractor · Gresham, OR

NPI 1922473719 · NPPES record last updated Jan 10, 2016

Key facts

NPI
1922473719
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
5657 (OR)
Legal business name
AMPLIFE CHIROPRACTIC AND SPORTS CHIROPRACTIC
Practice address
355 NE 223Rd Ave
Gresham, OR 97030-8554
Phone
(208) 340-1573
NPI assigned
Dec 5, 2015
Organization subpart
No

Authorized official

Name
Dr. Tyler Joseph Burke, DC NPI 1487021234
Title
Owner
Phone
(208) 340-1573

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

355 NE 223rd Ave
Gresham, OR 97030
Phone (208) 340-1573

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP		 111N00000X 5657 OR Yes

Addresses

Primary practice location

355 NE 223Rd Ave
Gresham, OR 97030-8554

Mailing address

16548 NE Halsey St Apt 113
Portland, OR 97230-8612
Phone (208) 340-1573

Other names

  • AMPLIFE CHIROPRACTIC AND SPORTS Doing business as

Other providers in Gresham, OR

All providers in Gresham, OR · Chiropractor in Oregon

Sources for this page

Verify at the official NPI Registry.