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 |