OrganizationActive
Sparadise LLC
NPI 1568174241 · Multi-Specialty Clinic/Center · Vancouver, WA
Provider details
- NPI number
- 1568174241
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristen Clearwater, Owner(360) 606-1694
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14602 Ne Fourth Plain Blvd Ste a
Vancouver, WA 98682-5080
Phone: (608) 928-1913
Street-level locationGet directions
Mailing address
14602 Ne Fourth Plain Blvd Ste a
Vancouver, WA 98682-5080
Other names (DBA / former)
- Former legal business name
- Clearwater Escape LLC
- Doing business as
- Fancy Fun
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.