Organization
PROFESSIONAL RECREATION ORGANIZATION, INC.
Active
Other names
PRO Sports Club
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BECKER (SR. DIRECTOR OF ACCOUNTING)
(425) 869-4796
Entity
Organization
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007
(425) 861-6240
(425) 869-5285
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007
(425) 861-6240
(425) 869-5285
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
600541508
WA
Other
Enumeration date
12/14/2012
Last updated
08/07/2017
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