Provider Demographics
NPI:1184473720
Name:SPARLING, SIERRA DIXIE
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:DIXIE
Last Name:SPARLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 SE 68TH PL
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-5682
Mailing Address - Country:US
Mailing Address - Phone:503-332-3610
Mailing Address - Fax:
Practice Address - Street 1:2545 SW TERWILLIGER BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-6302
Practice Address - Country:US
Practice Address - Phone:503-808-7877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist