Eileen Marie Sparks, RD, CDE

Registered Dietitian · Beaverton, OR

Individual Active NPI

NPI number 1467617019

Practice location

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone
(503) 520-4853

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NPI record

NPI
1467617019
Entity type
Individual (Type 1)
Enumeration date
July 23, 2008
Last updated
December 17, 2025
Certified
December 17, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X LDD000457 OR
Registered Dietitian 133V00000X DI60643012 WA

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Phone
(800) 813-2000
Fax
(855) 524-5255

About Eileen Sparks

Eileen Marie Sparks, RD, CDE is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3460. The NPI number 1467617019 was assigned on July 23, 2008 and the record was last updated on December 17, 2025.

Eileen Sparks lists 2 licenses in the registry: #LDD000457 (OR) for Registered Dietitian; #DI60643012 (WA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen Marie Sparks, RD, CDE?

The NPI number is 1467617019.

What is the phone number of Eileen Sparks?

The phone number listed for the practice location is (503) 520-4853.

Where is Eileen Sparks located?

4855 SW Western Ave, Beaverton, OR 97005-3460.

What is the taxonomy code for Eileen Sparks?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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