Individual provider · Type 1 NPI

John Philip Allen Sparkenbach

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1952090128 Active

Practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Call (503) 645-3581 Map

Mailing address

504 NE Caden Ave
Hillsboro, OR 97124-7258

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952090128

John Philip Allen Sparkenbach's National Provider Identifier is 1952090128, issued on May 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 17, 2024.