# NORTHWEST WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205703287
- **Authorized official:** DEBORAH GORDON MD (AUTHORIZED OFFICAL)
- **Authorized official phone:** (541) 482-8333

## Contact information

- **Practice address:** 149 CLEAR CREEK DR UNIT 108, ASHLAND, OR 97520-1882
- **Practice address phone:** (541) 482-8333
- **Practice address fax:** (541) 482-8398
- **Mailing address:** 149 CLEAR CREEK DR UNIT 108, ASHLAND, OR 97520-1882
- **Mailing address phone:** (541) 482-8333
- **Mailing address fax:** (541) 482-8398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2025
- **Last updated:** 04/07/2026