NPIMap

Organization Active NPI

Flourish Acupuncture and Wellness LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1023680220
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLOURISH ACUPUNCTURE AND WELLNESS LLC
Practice address
917 SW Oak St Ste 308
Portland, OR 97205-2806
Phone
(917) 888-3602
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Kyle Clark, LAC. LMTNPI 1336787902
Title
Licensed Acupuncturist, Owner
Phone
(719) 221-8761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

917 SW Oak St Ste 308
Portland, OR 97205-2806

Mailing address

1129 SW Washington St Apt 305
Portland, OR 97205-2317
Phone (719) 221-8761

National Provider Directory

National Provider Directory

Locations

917 SW Oak St
Ste 308
Portland, OR 97205
Phone (917) 888-3602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1023680220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 SW WASHINGTON ST APT 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052317",
            "telephone_number": "719-221-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 308",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052806",
            "telephone_number": "917-888-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH ACUPUNCTURE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST, OWNER",
        "authorized_official_telephone_number": "719-221-8761",
        "authorized_official_credential": "LAC. LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.