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PROACTIVE HEALTH LLC
NPI 1194912808
Clinic/Center in Bend, OR

Active since September 26, 2007
62968 O B RILEY RD, #16, BEND, OR 97703(541) 389-8714 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2016, Dec 1, 2015 (2 updates tracked since 2015).

About Proactive Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE HEALTH LLC (NPI 1194912808) is a healthcare organization registered as a clinic/center in Bend, Oregon and active in the NPI registry since September 2007. The organization lists Susan Hart, Director, as its authorized official.

NPPES Registry Identity

NPI1194912808
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROACTIVE HEALTH LLC
Location Address62968 O B RILEY RD, #16Bend, OR 97703-9442
Mailing Address62968 O B Riley Rd, E2-16Bend, OR 97703-9442 · (541) 389-8714
Phone(541) 389-8714
Organization SubpartNo
Authorized OfficialSusan HartDirector · (541) 389-8714
Enumeration DateSeptember 26, 2007
Last NPPES UpdateNovember 16, 20162 updates tracked since enumeration
✔ NPI 1194912808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OR · 000029202N1,,N2,N6
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
62968 O B RILEY RD, Bend, OR 97703
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ERIN ELIZABETH FOLLEN O.D.
Optometrist
62968 O B RILEY RD
BEND, OR 97703
Deschutes County (541) 382-2020
DR. WENSHAN LIU OD
Optometrist
62968 O B RILEY RD
BEND, OR 97703
Deschutes County (541) 382-2020
MS. PATRICIA EILEEN NEWMAN FNP
Nurse Practitioner (Family)
62968 O B RILEY RD, STE 16
BEND, OR 97703
Deschutes County (541) 318-0178
PATRICK DAVID SWIHART OD
Optometrist
62968 O B RILEY RD
BEND, OR 97703
Deschutes County (541) 382-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Health LLC's NPI number?

The NPI number for Proactive Health LLC is 1194912808. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is Proactive Health LLC located?

Proactive Health LLC is located at 62968 O B Riley Rd #16, Bend, OR 97703. The listed phone number is (541) 389-8714.

What is Proactive Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Proactive Health LLC was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.