PORTLAND WELLNESS PROJECT LLC
NPI 1639964828
Nurse Practitioner - Primary Care in Portland, OR

Active since April 10, 2025
1901 N KILLINGSWORTH ST, PORTLAND, OR 97217(503) 770-0670(833) 450-6082 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portland Wellness Project Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND WELLNESS PROJECT LLC (NPI 1639964828), doing business as Open Wellness, is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since April 2025. The organization lists Ilana Gurevich, Owner, as its authorized official.

NPPES Registry Identity

NPI1639964828
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePORTLAND WELLNESS PROJECT LLC
Location Address1901 N KILLINGSWORTH STPortland, OR 97217-4436
Mailing Address1901 N Killingsworth StPortland, OR 97217-4436 · (503) 770-0670
Fax(833) 450-6082
Organization SubpartNo
Authorized OfficialIlana GurevichOwner · (503) 701-8766
Enumeration DateApril 10, 2025
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1639964828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1901 N KILLINGSWORTH ST, Portland, OR 97217

Other Names 1

Doing Business AsOpen Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
1901 N KILLINGSWORTH ST
PORTLAND, OR 97217
Naturopath
1901 N KILLINGSWORTH ST
PORTLAND, OR 97217
Naturopath
1901 N KILLINGSWORTH ST
PORTLAND, OR 97217
Naturopath
1901 N KILLINGSWORTH ST
PORTLAND, OR 97217
Nurse Practitioner (Women's Health)
1901 N KILLINGSWORTH ST
PORTLAND, OR 97217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Wellness Project LLC's NPI number?

The NPI number for Portland Wellness Project LLC is 1639964828. It was assigned to this organization in the NPPES registry on April 10, 2025. The provider is doing business as Open Wellness.

Where is Portland Wellness Project LLC located?

Portland Wellness Project LLC is located at 1901 N Killingsworth St, Portland, OR 97217. The listed phone number is (503) 770-0670.

What is Portland Wellness Project LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Portland Wellness Project LLC was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.