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

Professional Recreation Organization, Inc

Organization Gynecology Physician · NPI 1508352881

Professional Recreation Organization, Inc is a Gynecology 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

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 600541508 (WA)

Record details

NPI number1508352881
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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