DR. BEAU WILLIAM SPARKS DC NPI 1265075964

NPI Information

DR. Beau William Sparks, DC is a chiropractor in Portland, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Beau William Sparks, DC NPI is 1265075964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11125 NE SANDY BLVD
PORTLAND, OR
ZIP 97220-555
Phone: (503) 257-3377
Fax: (503) 257-3432

The enumeration date for this NPI number is 10/25/2019 and was last updated on 12/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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