# PROLIANCE SURGERY CENTER AT VALLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356965750
- **Authorized official:** PEGGY WELLMAN (VP ASC OPERATIONS)
- **Authorized official phone:** (206) 838-3767

## Contact information

- **Practice address:** 4009 TALBOT ROAD S, SUITE 200, RENTON, WA 98055
- **Practice address phone:** (425) 226-2041
- **Practice address fax:** (425) 226-2402
- **Mailing address:** 4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
- **Mailing address phone:** (425) 226-2041
- **Mailing address fax:** (425) 226-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 08/20/2021