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Organization
PROLIANCE SURGEONS INC., P.S.
Active
Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Proliance Seattle Orthopedic Center Physical Therapy, Proliance Seattle Orthopedic Center MRI
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
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6073
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
601484763
WA
225X00000X
Occupational Therapist
601484763
WA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
601484763
WA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
06/06/2006
Last updated
08/22/2022
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