A Renaissance Health Center for Natural Medicine
Organization Active NPI Naturopath · Gresham, OR
NPI 1891954541 · NPPES record last updated Jun 7, 2008
Key facts
- NPI
- 1891954541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Naturopath 175F00000X
- License
- 1041 (OR)
- Legal business name
- A RENAISSANCE HEALTH CENTER FOR NATURAL MEDICINE
- Practice address
- 130 NW Miller Ave
Gresham, OR 97030-7226 - Phone
- (503) 665-2344
- Fax
- (503) 665-2337
- NPI assigned
- Jun 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Ana M Squellati, ND
- Title
- Physician/Owner of Center
- Phone
- (503) 665-2344
National Provider Directory
Locations
130 NW Miller Ave
Gresham, OR 97030
Phone (503) 665-2344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath |
175F00000X | 1041 | OR | Yes |
Addresses
Primary practice location
130 NW Miller Ave
Gresham, OR 97030-7226
Mailing address
130 NW Miller Ave
Gresham, OR 97030-7226
Phone (503) 665-2344
Other names
- Dr. Ana Squellati
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.