Individual
KENNETH ERROL SPARKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC PMHNP-BC
Contact information
Practice address
5441 S MACADAM AVE STE 8044, PORTLAND, OR 97239-6106
(503) 446-4700
(503) 446-4701
Mailing address
1115 HICKORY TER, FRIENDSWOOD, TX 77546-1423
(713) 325-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10020804
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10020804
OR
Other
Enumeration date
08/16/2018
Last updated
07/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us