Provider Demographics
NPI:1114355500
Name:FLOURISH NATURAL MEDICINE LLC
Entity type:Organization
Organization Name:FLOURISH NATURAL MEDICINE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DU MOULIN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:800-277-0117
Mailing Address - Street 1:116 3RD ST STE 215
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2193
Mailing Address - Country:US
Mailing Address - Phone:800-277-0117
Mailing Address - Fax:844-388-6183
Practice Address - Street 1:116 3RD ST STE 215
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2193
Practice Address - Country:US
Practice Address - Phone:800-277-0117
Practice Address - Fax:844-388-6183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty