Sparks Psychiatry, Pllc

LBN: Sparks Psychiatry, Pllc
Sparks Psychiatry, Pllc is an health care organization with primary practice located at 1500 Nw Bethany Blvd. Suite 200, Beaverton OR 97006. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Sparks Psychiatry, Pllc can be contacted via phone (503) 782-5651, or through Pauwels, Jody via phone (503) 782-5651.

Contact Information

Primary practice address
1500 Nw Bethany Blvd. Suite 200 Beaverton OR 97006
Phone: (503) 782-5651
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pauwels, Jody
Phone: (503) 782-5651

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1700677358
LBN Legal business name Sparks Psychiatry, Pllc
DBA Doing business as
Authorized official Pauwels, Jody
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2025
Last updated Jul 2nd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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