Graduated: 2019
NPI: 1194386250
Practice Locations (3)
NEW PROACTIVE LLC
1630 BEAVERCREEK RD, SUITE A
OREGON CITY, OR 970454156
5036070047
NEW PROACTIVE LLC
3400 SE 196TH AVE, SUITE 101
CAMAS, WA 986078862
3609545796
NEW PROACTIVE LLC
100 E 33RD ST, SUITE 204
VANCOUVER, WA 986632776
3608230138
Source: CMS National Downloadable File, September 2026.