# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHWEST WOMEN'S HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326584673
- **Authorized official:** MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
- **Authorized official phone:** (206) 838-2590

## Contact information

- **Practice address:** 1101 MADISON ST STE 1150, SEATTLE, WA 98104-3558
- **Practice address phone:** (206) 386-3400
- **Practice address fax:** (206) 386-3411
- **Mailing address:** 1101 MADISON ST STE 1150, SEATTLE, WA 98104-3558
- **Mailing address phone:** (206) 386-3400
- **Mailing address fax:** (206) 386-3411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 601484763 | WA | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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