# VIVAKESO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932754140
- **Authorized official:** STEPHANIE ALEXIS ARNOLD RPSGT, RST, CCSH (OWNER)
- **Authorized official phone:** (817) 723-1462

## Contact information

- **Practice address:** 2718 NE 152ND AVE, VANCOUVER, WA 98684-7887
- **Practice address phone:** (817) 723-1462
- **Mailing address:** 2718 NE 152ND AVE, VANCOUVER, WA 98684-7887
- **Mailing address phone:** (817) 723-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/05/2019
- **Last updated:** 08/05/2019