BRIAN KEITH SPARKS

PORTLAND, OR
NPI1780940403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR  MD190671)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A142587)
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine
(Licence: CA  A142587)
Enumeration Date2012-04-06
Last Update Date2023-05-10
Business Address
BRIAN KEITH SPARKS MD
9155 SW BARNES RD STE 333
PORTLAND, OR 97225-6630
Phone number: 503-216-5102
Mailing Address
BRIAN KEITH SPARKS MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494