Vivanta Neuro Geriatric Clinic
Vivanta Neuro Geriatric Clinic is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
5441 S Macadam Ave Ste NPortland, OR 97239-3822
Phone: (503) 960-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1467388595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mini Gupta — Physical Therapist · (503) 960-2060 |
| NPI enumerated | June 18, 2026 |
| Last updated in NPPES | June 18, 2026 |
| Certification date | June 17, 2026 |
| Mailing address | 5441 S Macadam Ave Ste N, Portland, OR 97239-3822 |
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