John Philip Allen Sparkenbach, is a
Student In An Organized Health Care Education/training Program based in Portland, Oregon. John Philip Allen Sparkenbach is licensed to practice in * (Not Available) (license number ) and his current practice location is
5415 Sw Westgate Dr, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 645-3581.
NPI number for John Philip Allen Sparkenbach is 1952090128 and his current mailing address is 504 Ne Caden Ave, Hillsboro, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952090128.
Healthcare Provider's Profile
Full Name | John Philip Allen Sparkenbach |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5415 Sw Westgate Dr, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952090128
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 08/17/2024
Medical Identifiers
Medical identifiers for John Philip Allen Sparkenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952090128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Philip Allen Sparkenbach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John Philip Allen Sparkenbach, 504 Ne Caden Ave, Hillsboro, OR 97124-7258 Ph: (951) 283-0580 | John Philip Allen Sparkenbach, 5415 Sw Westgate Dr, Portland, OR 97221-2409 Ph: (503) 645-3581 |
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