Organization · NPI-2

A Renaissance Health Center For Natural Medicine

Naturopath · Gresham, OR

NPI number1891954541
StatusActive
Last updated in NPPESJun 7, 2008

Details

NPI
1891954541
Entity type
Organization (NPI-2)
Legal business name
A Renaissance Health Center For Natural Medicine
Organization subpart
No
Enumeration date
Jun 7, 2008
Last updated
Jun 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath1041ORYes

Other names

  • Dr. Ana Squellati (Other Name)

Practice location

130 Nw Miller Ave
Gresham, OR 97030-7226

Phone 503-665-2344 · Fax 503-665-2337

Mailing address

130 Nw Miller Ave
Gresham, OR 97030-7226

Phone 503-665-2344 · Fax 503-665-2337

Authorized official

Ana M Squellati
Physician/Owner Of Center
5036652344

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