Ana M Squellati, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1041 Issued in OR

Practice address

123 E Powell Blvd Ste 207
Gresham, OR 97030-7622

Phone

(503) 341-4132

Fax

(503) 665-2337

NPI assigned

Oct 10, 2006

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1144318676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E POWELL BLVD STE 207",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307622",
            "telephone_number": "503-341-4132",
            "fax_number": "503-665-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E POWELL BLVD STE 207",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307622",
            "telephone_number": "503-341-4132",
            "fax_number": "503-665-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUELLATI",
        "first_name": "ANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1041",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Gresham, OR
• Providers in Gresham, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.