Organization
PRIMAL CARE WELLNESS LLC
Active
Organization
PRIMAL CARE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA MARIE QUAST FNP-BC (OWNER)
(458) 260-3090
Entity
Organization
Contact information
Practice address
97900 SHOPPING CENTER AVE STE 14, BROOKINGS, OR 97415-9412
(458) 260-3090
Mailing address
97900 SHOPPING CENTER AVE STE 14, BROOKINGS, OR 97415-9412
(458) 260-3090
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2026
Last updated
08/25/2026
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