Organization
PROFESSIONAL RECREATION ORGANIZATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BURGESS (MEDICAL BILLING SUPERVISOR)
(425) 895-6575
Entity
Organization
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 895-6575
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 895-6575
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
60054108
WA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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