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1396344305
EMILY SPARKS
PORTLAND, OR
NPI
1396344305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-21
Last Update Date
2023-08-24
Business Address
EMILY SPARKS CADC-R
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
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Mailing Address
EMILY SPARKS CADC-R
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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