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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance South Seattle Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (MGR PROVIDER RELATIONS & ENROLLMENT)
(206) 838-2585
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW STE 504, BURIEN, WA 98166-3059
(206) 242-3696
(206) 246-1078
Mailing address
16259 SYLVESTER RD SW STE 504, BURIEN, WA 98166-3059
(206) 242-3696
(206) 246-1078
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054623
—
WA
01
—
227694
WA L&I
WA
Enumeration date
11/23/2007
Last updated
06/21/2024
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