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Organization
SOUTHERN OREGON HOLISTIC WELLNESS CENTER LLC
Active
Organization
SOUTHERN OREGON HOLISTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP ABRAHAM LEVENSON (CEO)
(808) 777-0250
Entity
Organization
Contact information
Practice address
213 SW 4TH ST, GRANTS PASS, OR 97526-2407
(541) 761-1487
Mailing address
3685 WINDY CREEK RD, GLENDALE, OR 97442-9786
(808) 777-0250
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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