Individual
DR. ANA M SQUELLATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
123 E POWELL BLVD STE 207, GRESHAM, OR 97030-7622
(503) 341-4132
(503) 665-2337
Mailing address
123 E POWELL BLVD STE 207, GRESHAM, OR 97030-7622
(503) 341-4132
(503) 665-2337
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1041
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041
STATE LICENSE
OR
Enumeration date
10/10/2006
Last updated
09/30/2024
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