Portland Wellness Project LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PORTLAND WELLNESS PROJECT LLC

Doing business as

Open Wellness

Practice address

1901 N Killingsworth St
Portland, OR 97217-4436

Phone

(503) 770-0670

Fax

(833) 450-6082

NPI assigned

Apr 10, 2025

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilana Gurevich, NDNPI 1225218977

Title

Owner

Phone

(503) 701-8766

Specialties & licenses 1

Addresses

Other names 1

• OPEN WELLNESS Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Lynn Simonich, WHNP

  • Women's Health Nurse Practitioner
  • Portland, OR
  • NPI 1396083242
  Medicare reassignment NPD
• Ilana Gurevich, ND, LAC

  • Naturopath
  • Portland, OR
  • NPI 1225218977
  NPD Authorized official
• Kelly Carolyn Price, ND, LAC

  • Naturopath
  • Portland, OR
  • NPI 1033932249
  NPD
• Elizabeth Emrick

  • Naturopath
  • Portland, OR
  • NPI 1427921600

  Multi-Specialty

  NPD (past)
• Alaina Julia Goesling

  • Naturopath
  • Portland, OR
  • NPI 1922674860
  NPD (past)
• Katherine Elizabeth Lara, ND, LAC

  • Naturopath
  • Portland, OR
  • NPI 1225818180
  NPD (past)
• Katherine Leavens, ND

  • Naturopath
  • Portland, OR
  • NPI 1184404246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1639964828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174436",
            "telephone_number": "503-770-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174436",
            "telephone_number": "503-770-0670",
            "fax_number": "833-450-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND WELLNESS PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GUREVICH",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-701-8766",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Veterans Affairs Medical Center
• Portland Veteren Affairs Medical Center
• Portland Vision LLC
• Portland Wellness Care
• Portland Wellness Project LLC (Open Wellness)
• Portland West of Cascadia, LLC
• Portland Women's Acupuncture LLC
• Charles Nicholas Portlock, LMT
• Joni Diane Portmann, R.D.H.
• Kelly Ann Portnoff, M.D.

• Primary Care Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.