NPI: 1689279184
Provider Name: QUALITY LIFE MEDICAL PRACTICE LLC
Doing Business As: QUALITY LIFE FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization
Specialization: Primary Care
CLIA Number: 38D2199671
Address:
1201 NE 7TH ST STE E
GRANTS PASS, OR
ZIP 97526
Phone: (541) 314-4894
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QUALITY LIFE MEDICAL PRACTICE LLC is a primary care clinic center in Grants Pass, OR. QUALITY LIFE MEDICAL PRACTICE LLC NPI is 1689279184. The provider is registered as an organization entity type.
The provider Is Doing Business As Quality Life Family Practice, Llc.
The provider's business location address is:
1201 NE 7TH ST STE E
GRANTS PASS, OR
ZIP 97526-451
Phone: (541) 314-4894
Fax: (541) 314-4895
The provider's authorized official is Darlena Pike .
The authorized official title is Fnp/co-owner and has the following contact phone number (541) 314-4894.
The CLIA number assigned to this NPI record is 38D2199671 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/2/2020 and was last updated on 4/20/2021.