Organization
FLOURISH WOMENS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISHA MADRONE CNM (CERTIFIED NURSE MIDWIFE)
(503) 320-7819
Entity
Organization
Contact information
Practice address
2024 SE CLINTON ST, PORTLAND, OR 97202-2245
(503) 238-6262
Mailing address
3931 SE IVON ST, PORTLAND, OR 97202-1650
(503) 320-7819
(503) 200-1229
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
200450053NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269477
—
OR
Enumeration date
12/15/2010
Last updated
12/15/2010
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