Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SPARK BEHAVIORAL HEALTH LLC
NPI 1376359695
Clinic/Center in Portland, OR

Q: What is Spark Behavioral Health LLC's NPI number?

The NPI number for Spark Behavioral Health LLC is 1376359695. It was assigned to this organization in the NPPES registry on December 10, 2024.

Q: What is Spark Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 10, 2024

11000 SW BARBUR BLVD STE 100, PORTLAND, OR 97219(971) 228-9848 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Dec 16, 2024, Dec 15, 2024 (3 updates tracked since 2024).

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About Spark Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK BEHAVIORAL HEALTH LLC (NPI 1376359695) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Portland and lists Timnit Yikealo, Co-ceo, as its authorized official.

NPPES Registry Identity

NPI1376359695

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSPARK BEHAVIORAL HEALTH LLC

Location Address11000 SW BARBUR BLVD STE 100Portland, OR 97219-8691

Mailing Address4550 Sw Betts Ave # 44Beaverton, OR 97005-2869

Phone(971) 228-9848

Organization SubpartNo

Authorized OfficialTimnit YikealoCo-ceo · (971) 228-9848

Enumeration DateDecember 10, 2024

Last NPPES UpdateJune 11, 20263 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1376359695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11000 SW BARBUR BLVD STE 100, Portland, OR 97219

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Other Names 1

Doing Business AsSpark Behavioral Health Llc

Secondary Practice Location 1

Location 110354 NE Wasco St Ste 1Portland, OR 97220-3927 · Phone (971) 228-9848 · Fax (503) 907-6855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spark Behavioral Health LLC's NPI number?

The NPI number for Spark Behavioral Health LLC is 1376359695. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Spark Behavioral Health LLC located?

Spark Behavioral Health LLC is located at 11000 SW Barbur Blvd Ste 100, Portland, OR 97219. The listed phone number is (971) 228-9848.

What is Spark Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Spark Behavioral Health LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.