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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
NORTHWEST WOMEN'S HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
1101 MADISON ST STE 1150, SEATTLE, WA 98104-3558
(206) 386-3400
(206) 386-3411
Mailing address
1101 MADISON ST STE 1150, SEATTLE, WA 98104-3558
(206) 386-3400
(206) 386-3411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
601484763
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
01/10/2017
Last updated
05/27/2021
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