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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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