NPI 1124162235

Professional Recreation Organization, INC.

Organisation Podiatrist Bellevue, WA

Practice location

Address: 4455 148th Ave NE, Bellevue, WA 98007-3120
Phone: (425) 895-6546
Fax: (425) 861-6277

Authorised official

Name: Debbie Becker
Title: Sr. Director of Accounting
Phone: (425) 869-4746

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 600541508 (WA)

Other Podiatrist providers in Washington →

Registry record

NPI: 1124162235
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 7 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.