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Contact Information

PROFESSIONAL RECREATION ORGANIZATION, INC.
4455 148TH AVE NE
BELLEVUE, WA98007
 Phone: 425-861-6240
 Fax: 425-869-5285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PROFESSIONAL RECREATION ORGANIZATION, INC.

NPI Number 1619213915
LBN Legal business name PROFESSIONAL RECREATION ORGANIZATION, INC.
Authorized official DEBBIE BECKER - (SR. DIRECTOR OF ACCOUNTING)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2012
Last updated 08/07/2017 - About 9 years ago
Identifiers
WA License # 600541508
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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