IndividualActive
Avantika Gupta, PSYD
NPI 1104466408 · Psychologist · Portland, OR
Provider details
- NPI number
- 1104466408
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9320 Sw Barbur Blvd Ste 380
Portland, OR 97219-5430
Phone: (971) 204-8925
Approximate (ZIP-level) locationGet directions
Mailing address
9320 Sw Barbur Blvd Ste 380
Portland, OR 97219-5430
Registry dates
- Enumerated
- 2020-01-14
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.