Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467617019 Individual Practitioner Female Practitioner

Eileen Marie Sparks , RD, CDE

Dietitian, Registered • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Eileen Sparks, RD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Beaverton, OR. Practice services are available at 4855 SW WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4855 Sw Western Ave

Beaverton, OR 970053460

Telephone 5035204853
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Beaverton, OR (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR LDD000457

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License WA DI60643012

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
930798039 (OR)
Commercial Insurance / Payer ID Driver License
95832421 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Randeep Kaur , DA

Dental Assistant

NPI 1003063835
Channa Hang , PA

Physician Assistant

NPI 1013074517

Physician Assistant

NPI 1013395086

Doctor of Medicine (M.D.)

Marylou Strong

Physical Therapist

NPI 1023277092
NPI 1023322377

Doctor of Physical Therapy, Certified Strength and Conditioning Specialist

Amanda Andersen

Internal Medicine

NPI 1033504410

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address December 17, 2025

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031 (Tel: 8008132000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Dietitian, Registered (License #DI60643012 in WA)

NPI Profile Active July 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2008

Registered at 4855 SW WESTERN AVE, BEAVERTON, OR 970053460 (Tel: 5035204853)

📍
Updated Business Mailing Address July 23, 2008

Registered at 14035 SW STEEPLECHASE CT, BEAVERTON, OR 970080418 (Tel: 5035218859)

👤
Provider Name / Credentials Updated July 23, 2008

Recorded as EILEEN SPARKS, RD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2008

Dietitian, Registered (License #457 in OR)

🟢
Initial NPI Registration & Enumeration July 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467617019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2008
Last Update: December 17, 2025
Sole Proprietor: Yes

Mailing Address

500 Ne Multnomah St Ste 100

Portland, OR 972322031

Phone: 8008132000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.