Individual
HILLARY JO SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
(503) 252-4027
Mailing address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-10-20207
OR
Other
Enumeration date
04/10/2019
Last updated
10/26/2022
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