Provider Type Icon

MR. NICHOLAS ANDREW SPARKS NPI 1659918621


NPI Information

NPI: 1659918621
Provider Name: MR. NICHOLAS ANDREW SPARKS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
91150COBURG INDUSTRIAL WAY
COBURG, OR
ZIP 97408
Phone: (541) 687-1110
Get Directions

MR. Nicholas Andrew Sparks is an addiction (substance use disorder) counselor in Coburg, OR. MR. Nicholas Andrew Sparks NPI is 1659918621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

91150COBURG INDUSTRIAL WAY
COBURG, OR
ZIP 97408
Phone: (541) 687-1110

The enumeration date for this NPI number is 12/9/2019 and was last updated on 12/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)T-19-372OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.