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

Sparks Psychiatry, PLLC

Organization Adult Mental Health Clinic/Center · NPI 1700677358

Sparks Psychiatry, PLLC is an Adult Mental Health Clinic/Center in Beaverton, Oregon. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006
Phone: (503) 782-5651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 N Fir St, Sisters, OR 97759 — (503) 782-5651

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1700677358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Pauwels — Owner/Manager · (503) 782-5651
NPI enumeratedMay 14, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJune 16, 2025
Mailing address7698 Sw 143rd St, Palmetto Bay, FL 33158-1638

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