Graduated: 2007
NPI: 1235249889
Practice Locations (2)
NEW PROACTIVE LLC
61470 S HWY 97, SUITE 3B
BEND, OR 977022187
5415085473
NEW PROACTIVE LLC
450 NW GREENWOOD AVE
REDMOND, OR 977561531
5419230410
Source: CMS National Downloadable File, September 2026.