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Choosing the right healthcare provider matters — and understanding how care works at Flourish Family Medicine is part of that decision.
Naturopathic medicine combines natural therapies with the rigor of modern medical science to treat the whole person — body, mind, and environment. Rather than focusing solely on symptom suppression, naturopathic physicians are trained to identify and address the underlying causes of illness while supporting the body’s innate ability to heal and maintain balance.
In Washington State, licensed naturopathic physicians (NDs) are recognized as primary care providers. They complete a four-year, graduate-level medical education at an accredited naturopathic medical school, such as Bastyr University, with training that closely parallels conventional medical education. This includes extensive coursework and clinical experience in biomedical sciences, diagnosis, physical examination, laboratory testing, pharmacology, and patient care across the lifespan.
Washington-licensed naturopathic physicians are trained and licensed to:
Naturopathic philosophy emphasizes individualized care, prevention, and using the least invasive and most appropriate therapies to support healing. Treatment plans may include nutrition and lifestyle counseling, supplements, botanical medicine, conventional pharmaceuticals, or referrals to specialists — always guided by evidence, safety, and the specific needs of each patient.
At Flourish Family Medicine, our naturopathic physicians practice within the full scope of Washington State licensure while maintaining a collaborative approach to care. Our goal is to support long-term health and resilience through thoughtful, comprehensive medical care — partnering with patients and, when needed, with other healthcare providers to ensure the best possible outcomes.
Your First Visit
At your initial appointment, your physician will take the time to get to know you as a whole person. This visit typically includes:
We use both conventional diagnostic approaches and the principles of naturopathic medicine to guide clinical decision-making.
Your Personalized Care Plan
After your assessment, your physician will work with you to develop an individualized treatment plan based on your needs and goals. Recommendations may include:
When clinically appropriate, prescription medications, referrals, or collaboration with other healthcare providers may also be part of your care.
Visit Length
We prioritize listening, collaboration, and thoughtful care so you leave your visit with a clear understanding of next steps.
Yes. Flourish Family Medicine serves as the primary care provider for the majority of our patients.
Our licensed naturopathic physicians in Washington State are trained and authorized to provide comprehensive primary care for children and adults, including preventive care, diagnosis and management of acute and chronic conditions, laboratory testing, and prescription medications when clinically appropriate.
Most patients choose to establish Flourish Family Medicine as their primary care practice. Some patients, depending on their goals or insurance coverage, choose to maintain another primary care provider and see us for additional or consultative care. Both approaches are welcome.
Patients often seek care at Flourish Family Medicine because:
Our approach emphasizes thorough evaluation, thoughtful diagnostics, and personalized treatment planning. We use both conventional medical tools and naturopathic principles to support long-term health, and we collaborate with other healthcare providers when doing so best serves the patient.
Medicare Patients
At this time, naturopathic physicians are not recognized as primary care providers under Medicare. As a result, we are unable to serve as a primary care provider for Medicare beneficiaries. Patients with Medicare may choose to see us for adjunctive or consultative care.
Washington State law outlines specific rules regarding medical consent, privacy, and access to medical records for patients under age 18. These laws apply to all healthcare providers and are designed to balance parental involvement with a minor’s legal right to confidential care.
Consend & Privacy for Minors
In general:
Examples of care a minor may consent to on their own include:
Medical Records & Portal Access (Age 13+)
Under Washington State law:
How Flourish Family Medicine Handles This: Beginning at age 13, adolescent patients complete a Patient Portal Authorization for Ages 13+ form. This form allows the patient to decide:
This authorization is controlled by the patient and may be updated or revoked at any time at the patient’s request.
How Adolescent Visits Are Structured at Flourish
As children enter adolescence, we gradually adjust how visits are structured to support independence, privacy, and open communication — while still valuing family involvement.
This approach aligns with Washington State law and best practices in adolescent healthcare, helping teens build autonomy while maintaining appropriate family involvement.
Questions or Concerns
These laws and policies apply to all healthcare providers in Washington State. If you have questions about consent, privacy, portal access, or how adolescent visits are handled, our office is happy to review this information with you prior to scheduling.
Frequently Asked Questions
Our providers are contracted with many major insurance plans in our area, including:
We also bill auto insurance for motor vehicle accident (MVA) claims.
We currently accept Medicaid for:
Outside of these circumstances, we are not accepting new Medicaid patients at this time.
Insurance coverage for naturopathic medicine varies by plan and is not guaranteed, even when a provider is listed as in-network.
While Flourish Family Medicine may be contracted with your insurance company, your individual plan may or may not include coverage for naturopathic services. Coverage depends on the specific benefits outlined in your policy, including deductibles, copays, coinsurance, and visit limits.
As a small practice, we do not have a dedicated insurance benefits verification department. It is the patient’s responsibility to verify their insurance benefits and understand their specific plan coverage prior to their visit. Our team can confirm whether we are in-network with your insurance but cannot determine what services your plan will cover.
If you would like to verify coverage, we recommend contacting the customer service number on the back of your insurance card.
Insurance & Billing
Insurance coverage
Preventive Visits
Preventive visits focus on maintaining health, identifying concerns early, and supporting long-term wellness.
These visits typically include:
Preventive visits are designed to support overall health and disease prevention.
Important billing note: If additional concerns (such as rashes, headaches, illness, ADHD concerns, lab review, or other new or ongoing issues) are evaluated or treated during a preventive visit, your insurance may consider the visit problem-focused in addition to preventive care.
In these cases:
Please let your provider know at the start of your visit if you prefer to limit the appointment strictly to preventive care. If you are unsure whether a concern may affect billing, you are welcome to ask your provider during the visit.
Problem-focused visits are scheduled to evaluate and manage specific health concerns.
During these visits, your provider will:
Follow-up visits for ongoing concerns focus on monitoring progress and adjusting care as needed.
Office visits are billed based on time spent and medical complexity, in accordance with insurance guidelines.
This includes:
Billing & visit types
Preventive Visits
A deductible is the amount you must pay out of pocket each year for covered healthcare services before your insurance begins to contribute.
How it works:
If your plan has a $500 deductible, you are responsible for paying 100% of eligible charges until you have paid $500. Once your deductible is met, your insurance will begin sharing the cost of your care.
A copay is a fixed amount you pay at the time of service for certain types of visits. Copays are determined by your insurance plan and may vary depending on the type of care.
How it works:
Your plan may require:Copay amounts are typically listed on your insurance card.
Coinsurance is the percentage of the visit cost you are responsible for after your deductible has been met.
How it works:
If you have met your $500 deductible and your plan has 15% coinsurance, you would pay 15% of the visit cost while your insurance covers the remaining 85%.
The following services are not billable to insurance and are the patient’s responsibility:
Costs & payment options
Insurance plans can vary widely, even within the same carrier. Being in-network does not guarantee coverage for all services. Understanding how your plan works can help you anticipate out-of-pocket costs.
Coverage, deductibles, copays, and coinsurance are determined by your individual insurance plan. As a small practice, we are unable to verify detailed benefits on your behalf. We recommend contacting your insurance carrier directly to understand your specific coverage and financial responsibility.
Important Reminder
Yes. For patient convenience, we have a full-time phlebotomist who can perform blood draws either during or after your appointment, or at a separately scheduled time.
Please note:
The cost of laboratory testing varies depending on the type of testing ordered and your insurance coverage.
We work with several laboratories based on clinical needs, with Labcorp serving as our primary lab for routine blood work. Laboratories process and bill testing separately from our office, and most labs will bill your insurance directly. You may receive a bill from the laboratory for services performed.
Because lab billing is handled by the laboratory, we are unable to provide cost estimates in advance. If you have questions about coverage, your provider can share the list of recommended tests so you can contact your insurance company directly for clarification.
Office visits are billed based on time spent and medical complexity, in accordance with insurance guidelines.
This includes:
Establishing care ensures we can provide safe, appropriate testing and follow-up for every patient.
Laboratory Testing
Pricing
At Flourish we believe everyone should have the chance to experience naturopathic care, whether they have insurance, or not. That is why we offer a 20% off discount when our cash patients pay in full at their time of service.
Please reference the table below to get an idea of what we charge for what appointment.
Established Patient Annual Exam/Well Child Visit
$200-220
99391, 99392, 99393, 99394, 99395, 99396, 99397
CPT Code
Cash Price
New Patient Exam
$190-360
99203, 99204, 99205
CPT Code
Cash Price
New Patient Annual Exam/Well Child Visit
$240-270
99381, 99382, 99383, 99384, 99385, 99386, 99387
CPT Code
Cash Price
Established Patient Office Visit, high level
$250
99215
CPT Code
Cash Price
Established Patient Office Visit, moderate
$190
99214
CPT Code
Cash Price
Established Patient Office Visit, expanded
$140
99213
CPT Code
Cash Price
Name of Service
CPT Code
Cash Price
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425-286-8803
866-394-3445 (fax)
frontdesk@flourishfamilymedicine.com
16030 Bothell-Everett Hwy, Suite 220
Mill Creek, WA 98012