Organization · Type 2 NPI
Sparks Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1700677358
Active
Practice location
1500 NW Bethany Blvd., Suite 200
Beaverton, OR 97006
Mailing address
7698 SW 143rd St
Palmetto Bay, FL 33158-1638
Other practice locations
- 207 N Fir St, Suite 200, Sisters, OR 97759 · (503) 782-5651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700677358
Sparks Psychiatry, PLLC's National Provider Identifier is 1700677358, issued on May 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Jul 2, 2025.