# PROLIANCE SURGEONS INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Seattle Orthopedic Center Physical Therapy, Proliance Seattle Orthopedic Center MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740229699
- **Authorized official:** CORI M. PLEASANT (MGR PROVIDER RELATIONS/ENROLLMENT)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 2409 N 45TH ST, SEATTLE, WA 98103-6907
- **Practice address phone:** (206) 633-8100
- **Practice address fax:** (206) 633-6073
- **Mailing address:** 2409 N 45TH ST, SEATTLE, WA 98103-6907
- **Mailing address phone:** (206) 633-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/22/2022