| Flourish Natural Medicine Llc | |
|
5440 Sw Westgate Dr Ste 245 Portland OR 97221-2420 | |
| (503) 477-7915 | |
| (503) 954-3170 |
| Full Name | Flourish Natural Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5440 Sw Westgate Dr, Portland, Oregon |
| Authorized Official Name and Position | Samantha Anne Mathers (OWNER) |
| Authorized Official Contact | 5034777915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Natural Medicine Llc 5440 Sw Westgate Dr Ste 245 Portland OR 97221-2420 Ph: (503) 477-7915 | Flourish Natural Medicine Llc 5440 Sw Westgate Dr Ste 245 Portland OR 97221-2420 Ph: (503) 477-7915 |
| NPI Number | 1114355500 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114355500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1403 (Oregon) | Primary |
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