Active NPI
Flourish Integrative Medicine
- Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- FLOURISH INTEGRATIVE MEDICINE
- Practice address
- 2505 SW Spring Garden St Ste 200
Portland, OR 97219-3966 - Phone
- (503) 432-8050
- Fax
- (503) 432-8025
- NPI assigned
- Apr 15, 2020
- 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
- Jennifer G Owen, APRN
- Title
- Member
- Phone
- (503) 432-8050
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2505 SW Spring Garden St Ste 200
Portland, OR 97219-3966
Mailing address
2505 SW Spring Garden St Ste 200
Portland, OR 97219-3966
Phone (503) 432-8050
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2143975 | Flourish Integrative Medicine, LLC | Provider-performed microscopy | Feb 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
2505 SW Spring Garden St
Ste 200
Portland, OR 97219
Phone (503) 432-8050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Portland, OR
- NPI 1982969432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1366061798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 SW SPRING GARDEN ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193966",
"telephone_number": "503-432-8050",
"fax_number": "503-432-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 SW SPRING GARDEN ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193966",
"telephone_number": "503-432-8050",
"fax_number": "503-432-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "503-432-8050",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"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 Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.