| Proactive Health LLC | |
|
62968 O B Riley Rd #16 Bend OR 97703-9442 | |
| (541) 389-8714 | |
| Not Available |
| Full Name | Proactive Health LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 62968 O B Riley Rd, Bend, Oregon |
| Authorized Official Name and Position | Susan Hart (DIRECTOR) |
| Authorized Official Contact | 5413898714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Health LLC 62968 O B Riley Rd E2-16 Bend OR 97703-9442 Ph: (541) 389-8714 | Proactive Health LLC 62968 O B Riley Rd #16 Bend OR 97703-9442 Ph: (541) 389-8714 |
| NPI Number | 1194912808 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194912808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000029202N1,,N2,N6 (Oregon) | Primary |
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