OrganizationActive
Professional Recreation Organization, Inc.
NPI 1245726538 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Bellevue, WA
Provider details
- NPI number
- 1245726538
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Burgess, Medical Billing & Credentialing(425) 895-6575
- License
- 600541508 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4455 148th Ave Ne
Bellevue, WA 98007-3120
Phone: (425) 869-4746
Fax: (425) 869-5285
Approximate (ZIP-level) locationGet directions
Mailing address
4455 148th Ave Ne
Bellevue, WA 98007-3120
Other names (DBA / former)
- Doing business as
- Pro Sports Club
- Doing business as
- Pro Sports Club
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2018-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.