Active NPI
Flourish Womens Wellness, LLC
- Medical Specialty Clinic/Center
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 200450053NP
- Legal business name
- FLOURISH WOMENS WELLNESS, LLC
- Practice address
- 2024 SE Clinton St
Portland, OR 97202-2245 - Phone
- (503) 238-6262
- NPI assigned
- Dec 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Alisha Madrone, CNM
- Title
- Certified Nurse Midwife
- Phone
- (503) 320-7819
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 200450053NP | OR | Primary |
Addresses
Primary practice location
2024 SE Clinton St
Portland, OR 97202-2245
Mailing address
3931 SE Ivon St
Portland, OR 97202-1650
Phone (503) 320-7819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269477 | Medicaid | OR |
National Provider Directory
National Provider Directory- Tax ID family
- Flourish Women'S Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Midwife
- Portland, OR
- NPI 1417202110
Locations
2406 SE 60th Ave
Portland, OR 97206
Phone (503) 457-7799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Portland, OR
- NPI 1154388411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292371200000",
"number": "1336442284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3931 SE IVON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021650",
"telephone_number": "503-320-7819",
"fax_number": "503-200-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 SE CLINTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972022245",
"telephone_number": "503-238-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH WOMENS WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A",
"authorized_official_last_name": "MADRONE",
"authorized_official_first_name": "ALISHA",
"authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
"authorized_official_telephone_number": "503-320-7819",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OR",
"license": "200450053NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269477",
"state": "OR"
}
],
"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 Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.