PRO SPORTS CLUB
NPI 1700920782
Dermatology in Bellevue, WA

Q: What is Professional Recreation Organization, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since February 16, 2007

4455 148TH AVE NE, BELLEVUE, WA 98007(425) 895-6546(425) 861-6277 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pro Sports Club NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO SPORTS CLUB (NPI 1700920782) is a healthcare organization registered as a dermatology in Bellevue, Washington and active in the NPI registry since February 2007. The organization lists Debbie Becker, Sr Director Of Accounting, as its authorized official.

NPPES Registry Identity

NPI1700920782

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePROFESSIONAL RECREATION ORGANIZATION, INC.

Location Address4455 148TH AVE NEBellevue, WA 98007-3120

Mailing Address4455 148th Ave NeBellevue, WA 98007-3120 · (425) 895-6546 · Fax (425) 861-6277

Phone(425) 895-6546

Fax(425) 861-6277

Organization SubpartNo

Authorized OfficialDebbie BeckerSr Director Of Accounting · (425) 869-4746

Enumeration DateFebruary 16, 2007

Last NPPES UpdateAugust 7, 2017

✔ NPI 1700920782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in WA · 600541508

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 600541508 (WA)

4455 148TH AVE NE, Bellevue, WA 98007

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Other Names 1

Doing Business AsPro Sports Club

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS DEPEW PT, DPT

Physical Medicine & Rehabilitation