Professional Recreation Organization, Inc. in Bellevue - Physician Assistant
Professional Recreation Organization, Inc. - NPI 1700920782
Professional Recreation Organization, Inc. is a Physician Assistant in Bellevue, Washington. Professional Recreation Organization, Inc. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Professional Recreation Organization, Inc. is 1700920782. The last update date is 2017-08-07.
Professional Recreation Organization, Inc.'s current location address is 4455 148th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4258956546 and fax number 4258616277. The mailing address for Professional Recreation Organization, Inc. is 4455 148th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Recreation Organization, Inc. |
|---|---|
| Address | 4455 148th Ave Ne, Bellevue, Washington |
| Phone Number | 4258956546 |
| Fax Number | 4258616277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Becker Debbie |
| Telephone Number | 4258694746 |
NPI Number Detail
| NPI Number | 1700920782 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2017-08-07 |
Provider Mailing Address Detail
| Address | 4455 148th Ave Ne |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980073120 |
| Phone Number | 4258956546 |
| Fax Number | 4258616277 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 600541508 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Professional Recreation Organization, Inc. by the Centers for Medicare & Medicaid Services?
The Professional Recreation Organization, Inc. has been issued the NPI (National Provider Identifier) 1700920782 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Professional Recreation Organization, Inc. is located?
The Professional Recreation Organization, Inc. is situated at the following address: 4455 148Th Ave Ne, Bellevue, WA, 980073120.
What is Professional Recreation Organization, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Professional Recreation Organization, Inc.'s area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700920782 to Professional Recreation Organization, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1700920782 to Professional Recreation Organization, Inc. on 2007-02-16.
When was the information pertaining to Professional Recreation Organization, Inc. most recently updated or revised?
The details related to Professional Recreation Organization, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2017-08-07.