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
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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