| Spark Wellness | |
|
1010 5th St Oregon City OR 97045-2444 | |
| (503) 954-1890 | |
| (971) 888-4607 |
| Full Name | Spark Wellness |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1010 5th St, Oregon City, Oregon |
| Authorized Official Name and Position | Serenna Lynn Maclachlan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9168609900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Wellness 1010 5th St Oregon City OR 97045-2444 Ph: (503) 954-1890 | Spark Wellness 1010 5th St Oregon City OR 97045-2444 Ph: (503) 954-1890 |
| NPI Number | 1073081881 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 10/01/2026 |
| Certification Date | 10/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073081881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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