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PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1861918518


NPI Information

NPI: 1861918518
Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.

Doing Business As: PRO SPORTS CLUB

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007
Phone: (425) 895-6575
Get Directions

PROFESSIONAL RECREATION ORGANIZATION, INC. is a family medicine in Bellevue, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROFESSIONAL RECREATION ORGANIZATION, INC. NPI is 1861918518. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pro Sports Club.

The provider's business location address is:

4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007-120
Phone: (425) 895-6575

The provider's authorized official is Debbie Becker .
The authorized official title is Sr Director Of Accounting and has the following contact phone number (425) 869-4746.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice600541508WASHINGTONNo
2207Q00000XFamily Medicine600541508WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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