| Primal Care Wellness LLC | |
|
97900 Shopping Center Ave Ste 14 Brookings OR 97415-9412 | |
| (458) 260-3090 | |
| Not Available |
| Full Name | Primal Care Wellness LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 97900 Shopping Center Ave Ste 14, Brookings, Oregon |
| Authorized Official Name and Position | Alisha Marie Quast (OWNER) |
| Authorized Official Contact | 4582603090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primal Care Wellness LLC 97900 Shopping Center Ave Ste 14 Brookings OR 97415-9412 Ph: (458) 260-3090 | Primal Care Wellness LLC 97900 Shopping Center Ave Ste 14 Brookings OR 97415-9412 Ph: (458) 260-3090 |
| NPI Number | 1003723289 |
|---|---|
| Provider Enumeration Date | 08/25/2026 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003723289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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