Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1528899093
Practice Locations (1)
NEW PROACTIVE LLC
1470 NE 3RD ST
PRINEVILLE, OR 977542906
5414476846
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1528899093
NEW PROACTIVE LLC
1470 NE 3RD ST
PRINEVILLE, OR 977542906
5414476846
Source: CMS National Downloadable File, September 2026.