Individual
EILEEN MARIE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 520-4853
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI60643012
WA
133V00000X
Registered Dietitian
Primary
LDD000457
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930798039
—
OR
01
—
95832421
DRIVER LICENSE
OR
Enumeration date
07/23/2008
Last updated
12/17/2025
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