Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Nutrition, LLC

Organization Clinic/Center · NPI 1780831917

Proactive Nutrition, LLC is a Clinic/Center in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13008 NE 125th Way
Kirkland, WA 98034-7726
Phone: (425) 814-8443
Fax: (425) 814-4852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 602401604 (WA)

Record details

NPI number1780831917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Hara — Owner · (425) 814-8443
Other names Proactive Nutrition
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008
Mailing address13008 Ne 125th Way, Kirkland, WA 98034-7726

Other providers in Kirkland