Individual
AVANTIKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9320 SW BARBUR BLVD STE 380, PORTLAND, OR 97219-5430
(971) 204-8925
Mailing address
9320 SW BARBUR BLVD STE 380, PORTLAND, OR 97219-5430
(971) 204-8925
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
09/16/2024
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