Individual
COLLEEN RENEE AMANN-SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
3130 SE DIVISION, POTLAND, OR 97212
(844) 966-6777
Mailing address
1455 NW IRVING ST STE 600, PORTLAND, OR 97209-2277
(503) 684-8252
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1888
OR
Other
Enumeration date
04/12/2012
Last updated
03/05/2020
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