Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spark Behavioral Health LLC

Organization Clinic/Center · NPI 1376359695

Spark Behavioral Health LLC is a Clinic/Center in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11000 SW Barbur Blvd Ste 100
Portland, OR 97219-8691
Phone: (971) 228-9848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10354 Ne Wasco St Ste 1, Portland, OR 97220-3927 — (971) 228-9848

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1376359695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timnit Yikealo — Co-Ceo · (971) 228-9848
Other names Spark Behavioral Health Llc; Spark Behavioral Health Llc
NPI enumeratedDecember 10, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address4550 Sw Betts Ave # 44, Beaverton, OR 97005-2869

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