Professional Recreation Organization, Inc
Professional Recreation Organization, Inc is a Dermatology Physician in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4455 148th Ave NEBellevue, WA 98007-3120
Phone: (425) 895-6546
Fax: (425) 861-6277
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 600541508 (WA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 600541508 (WA) |
Record details
| NPI number | 1700920782 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbie Becker — Sr Director Of Accounting · (425) 869-4746 |
| Other names | Pro Sports Club |
| NPI enumerated | February 16, 2007 |
| Last updated in NPPES | August 7, 2017 |
| Mailing address | 4455 148th Ave Ne, Bellevue, WA 98007-3120 |
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Sarah Stano
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Lauri M Tadlock, MD
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