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Contact Information

BRIAN K SPARKS, MD
9155 SW BARNES RD STE 333
PORTLAND, OR97225-6630
 Phone: 503-216-5102
 Fax: 971-282-0091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRIAN K SPARKS · (Male)

NPI Number 1780940403
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2012
Last updated 05/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A142587
  • OR License # MD190671
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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