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SPARKS PSYCHIATRY, PLLC
NPI 1700677358
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since May 14, 2025
1500 NW BETHANY BLVD., SUITE 200, BEAVERTON, OR 97006(503) 782-5651 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2025, May 14, 2025 (2 updates tracked since 2025).

About Sparks Psychiatry, Pllc NPPES

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

SPARKS PSYCHIATRY, PLLC (NPI 1700677358) is a healthcare organization registered as a psychiatric/mental health in Beaverton, Oregon and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Sisters and lists Jody Pauwels, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1700677358
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSPARKS PSYCHIATRY, PLLC
Location Address1500 NW BETHANY BLVD., SUITE 200Beaverton, OR 97006
Mailing Address7698 Sw 143rd StPalmetto Bay, FL 33158-1638
Phone(503) 782-5651
Organization SubpartNo
Authorized OfficialJody PauwelsOwner/manager · (503) 782-5651
Enumeration DateMay 14, 2025
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1700677358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1500 NW BETHANY BLVD., Beaverton, OR 97006
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Secondary Practice Location 1

Location 1207 N Fir St, Suite 200Sisters, OR 97759 · Phone (503) 782-5651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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 Sparks Psychiatry, PLLC's NPI number?

The NPI number for Sparks Psychiatry, PLLC is 1700677358. It was assigned to this organization in the NPPES registry on May 14, 2025.

Where is Sparks Psychiatry, PLLC located?

Sparks Psychiatry, PLLC is located at 1500 NW Bethany Blvd. Suite 200, Beaverton, OR 97006. The listed phone number is (503) 782-5651.

What is Sparks Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Sparks Psychiatry, PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Sparks Psychiatry, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sparks Psychiatry, PLLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.