PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1144708819

NPI Information

NPI: 1144708819
Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007
Phone: (425) 895-6575
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PROFESSIONAL RECREATION ORGANIZATION, INC. is an ambulatory surgical clinic center in Bellevue, WA. PROFESSIONAL RECREATION ORGANIZATION, INC. NPI is 1144708819. The provider is registered as an organization entity type.

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 Melissa Burgess .
The authorized official title is Medical Billing Supervisor and has the following contact phone number (425) 895-6575.

The enumeration date for this NPI number is 8/3/2018 and was last updated on 8/3/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	60054108	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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