Healthcare Provider Details

I. General information

NPI: 1104726736
Provider Name (Legal Business Name): FLOURISH WELLNESS SOCIETY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2026
Last Update Date: 11/07/2026
Certification Date: 11/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10512 SW LAUREL ST
BEAVERTON OR
97005-3118
US

IV. Provider business mailing address

10512 SW LAUREL ST
BEAVERTON OR
97005-3118
US

V. Phone/Fax

Practice location:
  • Phone: 503-856-4507
  • Fax: 800-308-6136
Mailing address:
  • Phone: 503-856-4507
  • Fax: 800-308-6136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIANE LEONA KNORR
Title or Position: CO-OWNER & PHYSICIAN
Credential: ND
Phone: 503-856-4507