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PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1700920782


NPI Information

NPI: 1700920782
Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.

Doing Business As: PRO SPORTS CLUB

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007
Phone: (425) 895-6546
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PROFESSIONAL RECREATION ORGANIZATION, INC. is a dermatology in Bellevue, WA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. PROFESSIONAL RECREATION ORGANIZATION, INC. NPI is 1700920782. 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) 895-6546
Fax: (425) 861-6277

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 2/16/2007 and was last updated on 8/7/2017.


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
1363A00000XPhysician Assistant600541508WASHINGTONNo
2207N00000XDermatology600541508WASHINGTONYes

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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