| NPI | 1639964828 |
|---|---|
| Doing Business As | OPEN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ILANA GUREVICH Owner 503-701-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |