# PROLIANCE SURGEONS INC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Hillside Medical Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780610220
- **Authorized official:** CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 104 27TH AVE SE, PUYALLUP, WA 98374-1145
- **Practice address phone:** (253) 770-9000
- **Practice address fax:** (253) 770-9712
- **Mailing address:** PO BOX 1205, PUYALLUP, WA 98371-0231
- **Mailing address phone:** (253) 770-9000

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 12/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2068005 | — | WA |
| 01 | — | 352494 | WA LABOR & INDUSTRIES | — |