Primal Care Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMAL CARE WELLNESS LLC

Practice address

97900 Shopping Center Ave Ste 14
Brookings, OR 97415-9412

Phone

(458) 260-3090

NPI assigned

Aug 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alisha Marie Quast, FNP-BC

Title

Owner

Phone

(458) 260-3090

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1003723289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97900 SHOPPING CENTER AVE STE 14",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159412",
            "telephone_number": "458-260-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97900 SHOPPING CENTER AVE STE 14",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159412",
            "telephone_number": "458-260-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL CARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "QUAST",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "458-260-3090",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Diane Porter
• Thomas L Poulton, M.D.
• Precision Eyecare P.C.
• Callie A Preston
• Mickey J Price, PSY.D.
• Joshua Pruden
• Alisha Quast, NP
• Deborah Ramirez
• Dawn Renae Rarick
• Holly Rawlings

• Primary Care Clinic/Center in Brookings, OR
• Providers in Brookings, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.