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) 869-4746
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
207Q00000X
Family Medicine Physician
Primary
600541508
WA
208D00000X
General Practice Physician
600541508
WA
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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