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

Professional Recreation Organization, Inc

Organization Orthopaedic Surgery Physician · NPI 1619213915

Professional Recreation Organization, Inc is an Orthopaedic Surgery Physician in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
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
Phone: (425) 861-6240
Fax: (425) 869-5285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 600541508 (WA)

Record details

NPI number1619213915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Becker — Sr. Director Of Accounting · (425) 869-4796
Other names Pro Sports Club
NPI enumeratedDecember 14, 2012
Last updated in NPPESAugust 7, 2017
Mailing address4455 148th Ave Ne, Bellevue, WA 98007

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