| NPI | 1689279184 |
|---|---|
| Doing Business As | QUALITY LIFE FAMILY PRACTICE, LLC |
| Entity Type | Organization |
| Authorized Contact | DARLENA PIKE Fnp/Co Owner 541-314-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-04-20 |