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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Surgeons Bellevue Ear Nose and Throat and Sound Hearing
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
1231 116TH AVE NE STE 915, BELLEVUE, WA 98004-3822
(425) 454-3938
(425) 454-2568
Mailing address
510 8TH AVE NE STE 310, ISSAQUAH, WA 98029-5436
(425) 454-3938
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
601484763
WA
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
231H00000X
Audiologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060221
—
WA
01
—
229378
WA LABOR & INDUSTRIES
WA
Enumeration date
02/21/2008
Last updated
08/19/2022
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