# FLOURISH WOMENS WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336442284
- **Authorized official:** MRS. ALISHA MADRONE CNM (CERTIFIED NURSE MIDWIFE)
- **Authorized official phone:** (503) 320-7819

## Contact information

- **Practice address:** 2024 SE CLINTON ST, PORTLAND, OR 97202-2245
- **Practice address phone:** (503) 238-6262
- **Mailing address:** 3931 SE IVON ST, PORTLAND, OR 97202-1650
- **Mailing address phone:** (503) 320-7819
- **Mailing address fax:** (503) 200-1229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 200450053NP | OR | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 269477 | — | OR |