Organization
FLOURISH ACUPUNCTURE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE CLARK LAC. LMT (LICENSED ACUPUNCTURIST, OWNER)
(719) 221-8761
Entity
Organization
Contact information
Practice address
917 SW OAK ST STE 308, PORTLAND, OR 97205-2806
(917) 888-3602
Mailing address
1129 SW WASHINGTON ST APT 305, PORTLAND, OR 97205-2317
(719) 221-8761
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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