Dermatology
PROFESSIONAL RECREATION ORGANIZATION, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700920782 · enumerated 2007-02-16 · record updated 2017-08-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DEBBIE BECKER, Sr Director of Accounting · (425) 869-4746
Other names: PRO SPORTS CLUB
Addresses and phones
- Practice location 4455 148TH AVE NE, BELLEVUE, WA, 98007-3120 (425) 895-6546 Fax (425) 861-6277 Google Maps Apple Maps OpenStreetMap
- Mailing address 4455 148TH AVE NE, BELLEVUE, WA, 98007-3120 (425) 895-6546 Fax (425) 861-6277 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 600541508 WA
- Dermatology 207N00000X · Primary · License 600541508 WA
In this directory
Locations and evidence
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Practice location
BELLEVUE, WA, 980073120
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.