Graduated: 2024
NPI: 1801633953
Practice Locations (2)
NEW PROACTIVE LLC
1630 BEAVERCREEK RD, SUITE A
OREGON CITY, OR 970454156
5036070047
NEW PROACTIVE LLC
100 E 33RD ST, SUITE 204
VANCOUVER, WA 986632776
3608230138
Source: CMS National Downloadable File, September 2026.