Provider Demographics
NPI:1780923532
Name:ASPIRE CHIROPRACTIC & MASSAGE INC.
Entity type:Organization
Organization Name:ASPIRE CHIROPRACTIC & MASSAGE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BETSILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-618-0147
Mailing Address - Street 1:23479 SE STARK ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-2962
Mailing Address - Country:US
Mailing Address - Phone:503-618-0147
Mailing Address - Fax:503-618-0148
Practice Address - Street 1:23479 SE STARK ST STE 101
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-2962
Practice Address - Country:US
Practice Address - Phone:503-618-0147
Practice Address - Fax:503-618-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty