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
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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