Professional Recreation Organization, Inc.

Specialty details in registry · Bellevue, WA

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At a glance

4455 148Th Ave Ne, Bellevue, WA 98007-3120

NPPES record updated Jul 10, 2018. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4455 148Th Ave Ne
Bellevue, WA 98007-3120
Professional details: NPI, taxonomy & registry record
NPI1245726538
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208G00000X
Enumeration date
Jul 10, 2018
Record updated
Jul 10, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

208G00000X · Primary

License reported: 600541508 WA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4455 148Th Ave Ne
Bellevue, WA 98007-3120
Phone
(425) 869-4746
Fax
(425) 869-5285
Mailing address
4455 148TH AVE NE

BELLEVUE, WA 980073120
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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