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Organization
PORTLAND WELLNESS PROJECT LLC
Active
Organization
PORTLAND WELLNESS PROJECT LLC
Active
Other names
Open Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILANA GUREVICH ND, LAC (OWNER, PHYSICIAN)
(503) 880-8452
Entity
Organization
Contact information
Practice address
1901 N KILLINGSWORTH ST, PORTLAND, OR 97217-4436
(503) 880-8452
Mailing address
3954 NE CLEVELAND AVE, PORTLAND, OR 97212-1005
(503) 880-8452
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073941399
NPPES
OR
01
—
1225218977
NPPES
OR
Enumeration date
10/10/2022
Last updated
04/16/2026
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