Provider Demographics
NPI:1144099144
Name:CUNHA, GABRIELLA (ND)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:CUNHA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 ORCAS AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-6532
Mailing Address - Country:US
Mailing Address - Phone:360-504-6648
Mailing Address - Fax:360-504-2265
Practice Address - Street 1:430 E LAURIDSEN BLVD STE 212
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-7978
Practice Address - Country:US
Practice Address - Phone:360-504-6648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61495580175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath