# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Orthopedic Associates Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750321006
- **Authorized official:** MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
- **Authorized official phone:** (206) 838-2590

## Contact information

- **Practice address:** 4033 TALBOT RD S STE 270, RENTON, WA 98055-5767
- **Practice address phone:** (425) 226-2041
- **Practice address fax:** (425) 226-2405
- **Mailing address:** 4033 TALBOT RD S STE 270, RENTON, WA 98055-5767
- **Mailing address phone:** (425) 226-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601484763 | WA | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 05/28/2021