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

Brian Keith Sparks, MD

Individual provider Psychiatry Physician · NPI 1780940403

Brian Keith Sparks, MD is a Psychiatry in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
14
Licensed in
CA, OR
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9155 SW Barnes Rd Ste 333
Portland, OR 97225-6630
Phone: (503) 216-5102
Fax: (971) 282-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD190671 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence A142587 (CA)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence A142587 (CA)

Record details

NPI number1780940403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2012
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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