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Organization
PROFESSIONAL RECREATION ORGANIZATION, INC.
Active
Organization
PROFESSIONAL RECREATION ORGANIZATION, INC.
Active
Other names
PRO Sports Club
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE BECKER (SR DIRECTOR OF ACCOUNTING)
(425) 869-4746
Entity
Organization
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 869-4746
(425) 869-5285
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 869-4746
(425) 869-5285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
600541508
WA
103T00000X
Psychologist
600541508
WA
2084P0800X
Psychiatry Physician
600541508
WA
Other
Enumeration date
05/22/2013
Last updated
08/07/2017
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