Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Recreation Organization, Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1245726538

Professional Recreation Organization, Inc is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4455 148th Ave NE
Bellevue, WA 98007-3120
Phone: (425) 869-4746
Fax: (425) 869-5285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 600541508 (WA)

Record details

NPI number1245726538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Burgess — Medical Billing & Credentialing · (425) 895-6575
Other names Pro Sports Club; Pro Sports Club
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 10, 2018
Mailing address4455 148th Ave Ne, Bellevue, WA 98007-3120

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