PRIMAL CARE WELLNESS LLC NPI 1003723289

NPI Information

  • NPI: 1003723289
  • Provider Name: PRIMAL CARE WELLNESS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 97900 SHOPPING CENTER AVE STE 14
    BROOKINGS, OR
    ZIP 97415
  • Phone: (458) 260-3090

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NPI Details

PRIMAL CARE WELLNESS LLC is a primary care clinic center in Brookings, OR. PRIMAL CARE WELLNESS LLC NPI is 1003723289. The provider is registered as an organization entity type.

The provider's business location address is:

97900 SHOPPING CENTER AVE STE 14
BROOKINGS, OR
ZIP 97415-412
Phone: (458) 260-3090

The provider's authorized official is Alisha Marie Quast .
The authorized official title is Owner and has the following contact phone number (458) 260-3090.

The enumeration date for this NPI number is 8/25/2026 and was last updated on 8/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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