Individual
ANGELA JEANETTE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2800
(877) 516-9184
Mailing address
140 SW 146TH ST, BURIEN, WA 98166-1912
(206) 901-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A99231
CA
207Q00000X
Family Medicine Physician
Primary
MD60006967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8512782
—
WA
01
—
A992314
MEDICAL LICENSE NUMBER
CA
01
—
MD60006967
MEDICAL LICENSE NUMBER
WA
Enumeration date
08/16/2007
Last updated
08/07/2025
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