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Organization
PROLIANCE SURGEONS INC P S
Active
Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Proliance Edmonds Center for Outpatient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
7320 216TH ST SW STE 140, EDMONDS, WA 98026-8028
(206) 673-3750
(206) 673-3763
Mailing address
7320 216TH ST SW STE 140, EDMONDS, WA 98026-8028
(425) 673-3750
(425) 673-3763
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043609
—
WA
01
—
173267
WA LABOR & INDUSTRIES
WA
Enumeration date
06/07/2006
Last updated
10/04/2024
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