Individual
JOHN PHILIP ALLEN SPARKENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Mailing address
504 NE CADEN AVE, HILLSBORO, OR 97124-7258
(951) 283-0580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
08/17/2024
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