NPI 1245726538

Professional Recreation Organization, INC.

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Bellevue, WA

Practice location

Address: 4455 148th Ave NE, Bellevue, WA 98007-3120
Phone: (425) 869-4746
Fax: (425) 869-5285

Authorised official

Name: Melissa Burgess
Title: Medical Billing & Credentialing
Phone: (425) 895-6575

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 600541508 (WA)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Washington →

Registry record

NPI: 1245726538
Entity type: Organization
NPI issued: 10 Jul 2018
Record last updated: 10 Jul 2018

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.