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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Rehabilitation, Sports and Spine Center
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
3216 NORTON AVE STE 101, EVERETT, WA 98201-4290
(425) 252-4700
(425) 252-4788
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3900
(425) 252-4788
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
601484763
WA
261Q00000X
Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
11/07/2016
Last updated
08/22/2022
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